Susan E Fanta, MD

NPI #1326049313 in Yankton, South Dakota

Provider Information

NPI Number: 1326049313
Entity Type: Individual
Name: Susan E Fanta, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 2, 2005
Last Updated: Jun 24, 2020

Practice Location

Address: 1104 W 8TH ST
City: Yankton
State: South Dakota
ZIP Code: 57078-3306
Phone: (605) 665-7841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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