Independent Medicine Prof LLC
NPI #1740590413 in Estelline, South Dakota
Provider Information
- NPI Number
- 1740590413
- Entity Type
- Organization
- Organization Name
- Independent Medicine Prof LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 15, 2010
- Last Updated
- Jun 21, 2011
Practice Location
- Address
- 204 E LAKE DR
- City
- Estelline
- State
- South Dakota
- ZIP Code
- 57234-6615
- Phone
- (605) 873-2133
Authorized Official
- Name
- DR. ANNETTE M BOSWORTH, MD
- Title
- PRESIDENT/CEO
- Phone
- (605) 371-6899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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