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Contact Information

EDGARDO FORTUNO III, DO
1309 W 17TH ST STE 101
SIOUX FALLS, SD57104-8805
 Phone: 605-328-8000
 Fax: 605-328-8001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EDGARDO FORTUNO III · (Male)

NPI Number 1053847152
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/10/2017
Last updated 03/28/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 58.008242
  • SD License # 12320
Hospital affiliation(s)
  • SANFORD USD MEDICAL CENTER - (Acute Care)
    1305 W 18TH ST POST OFFICE BOX 5039
    SIOUX FALLS, SD 57117
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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