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Contact Information

JEREMY POULSEN, DO
101 TOWER RD
DAKOTA DUNES, SD57049-5007
 Phone: 605-217-7246
 Fax: 605-217-4878
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JEREMY POULSEN · (Male)

NPI Number 1992826838
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/02/2007
Last updated 06/12/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A9945
  • SD License # 7794
  • CA Other P00454461 MEDICARE RAILROAD CARRIER
Hospital affiliation(s)
  • BAUM HARMON MERCY HOSPITAL - (Critical Access)
    255 N WELCH AVENUE
    PRIMGHAR, IA 51245
  • BURGESS HEALTH CENTER - (Critical Access)
    1600 DIAMOND STREET
    ONAWA, IA 51040
  • MERCY MEDICAL CENTER-SIOUX CITY - (Acute Care)
    801 5TH ST
    SIOUX CITY, IA 51101
  • SIOUXLAND SURGERY CENTER LP - (Acute Care)
    600 SIOUX POINT ROAD
    DAKOTA DUNES, SD 57049
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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