NPI Registry.org

Joseph Matthew Statz

NPI Registration Record

Provider / OrganizationNPIDate Certified
JOSEPH MATTHEW STATZ17600809492020-10-11
Entity TypeIndividual
Provider Name Joseph Matthew Statz
Practice Office Address1900 S MARION RD
SIOUX FALLS, SD US
Practice Office Telephone6053613347
Mailing Address4504 S DULUTH AVE
SIOUX FALLS, SD 571056735 US
Business Telephone6053384764
HPT Codes
CodeLicense NoState
183500000X PRIMARY4229 SD
OPI Codes

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