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Contact Information

JERRY L MOENCH, MD
4520 W 69TH ST
SIOUX FALLS, SD57108-8148
 Phone: 605-977-5000
 Fax: 605-977-5377
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JERRY L MOENCH · (Male)

NPI Number 1619920311
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2006
Last updated 03/24/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 1548
  • IA Medicaid 1106195
  • SD Medicaid 6001200
  • Other 24681 HEALTH PARTNERS
  • Other 931451029038 PREFERRED ONE
  • Other 165027 UCARE
  • MN Other 538R5MO MN BCBS - PLAN 538R2NO
  • MN Other 92589MO MN BCBS - PLAN 91057NO
  • SD Other 1548 DAKOTACARE
  • SD Other 0009604 SD BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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