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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYLER JOHN KOEDAM, MD

Active

TYLER JOHN KOEDAM, MD is a Emergency Medicine healthcare provider located in SIOUX FALLS, South Dakota. NPI 1386083244 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · SIOUX FALLS, SD

Registration Details

NPI Number
1386083244
Provider Type
Individual
Gender
Male
NPI Issued
Jun 24, 2013 (13.148074440846 yrs)
Last Updated
Jul 22, 2016
Licenses
4301103689 (MI)
4301103689 (MI)
9920 (SD)

Practice Information

Address
1325 S CLIFF AVE
SIOUX FALLS, SD, 571051007
Browse SD providers · Browse ZIP 57105
Phone
6053228000
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in SIOUX FALLS, SD

Name Credential NPI
DR. DONALD T ELLIS II MD 1326048760
DR. RICHARD P. BURRUSS JR. M.D. 1447244389
BRIAN STEVEN SKOW M.D. 1922083831
DR. SCOTT GREGORY VANKEULEN M.D. 1053359190
ROSSITZA T VAKARELSKA MD 1134165442
DR. LUCAS PAUL MAILANDER MD 1093742934
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.