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Contact Information

MELODY A SHRACK, MD
103 W PIONEER AVE
VIBORG, SD57070
 Phone: 605-326-5201
 Fax: 605-326-5196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MELODY A SHRACK · (Female)

NPI # 1306131602
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2011
Last updated 11/06/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01071457A
  • NM License # MD2013-0913
  • SD License # 12197
  • IN Medicaid 201093130
Hospital affiliation(s)
  • AVERA ST BENEDICT HEALTH CENTER - CAH - (Critical Access)
    401 WEST GLYNN DRIVE
    PARKSTON, SD 57366
  • LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH - (Critical Access)
    600 BILLARS ST
    SCOTLAND, SD 57059
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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