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Contact Information

GREGORY K NISSEN
3801 S ELMWOOD AVE
SIOUX FALLS, SD57105-6565
 Phone: 605-306-6140
 Fax: 605-306-6500
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for GREGORY K NISSEN · (Male)

NPI # 1174813729
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2011
Last updated 08/07/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 10915
Hospital affiliation(s)
  • COMMUNITY MEMORIAL HOSPITAL - CAH - (Critical Access)
    809 JACKSON POST OFFICE BOX 319
    BURKE, SD 57523
  • SANFORD ABERDEEN MEDICAL CENTER - (Acute Care)
    2905 3RD AVE SE
    ABERDEEN, SD 57402
  • SANFORD CHAMBERLAIN MEDICAL CENTER - (Critical Access)
    300 S BYRON
    CHAMBERLAIN, SD 57325
  • SANFORD USD MEDICAL CENTER - (Acute Care)
    1305 W 18TH ST POST OFFICE BOX 5039
    SIOUX FALLS, SD 57117
  • WINNER REGIONAL HEALTHCARE CENTER - CAH - (Critical Access)
    745 EAST 8TH STREET
    WINNER, SD 57580
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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