JACOB KUSMAK
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1285833459- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1310 W 22ND ST, SIOUX FALLS, SD, 571051501
- Phone
- (605) 328-8600
Specialties & Taxonomies
Pharmacist
License: SD #5144
Dermatology
Primary License: SD #pending
All Addresses
MAILING
PO BOX 5074
SIOUX FALLS, SD, 571175074