Provider Demographics
NPI:1124029038
Name:AANNING, HARALD LARS (MD)
Entity Type:Individual
Prefix:
First Name:HARALD
Middle Name:LARS
Last Name:AANNING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5126
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5126
Mailing Address - Country:US
Mailing Address - Phone:605-335-1952
Mailing Address - Fax:605-373-9971
Practice Address - Street 1:806 8TH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:SD
Practice Address - Zip Code:57062
Practice Address - Country:US
Practice Address - Phone:605-369-2627
Practice Address - Fax:605-369-5627
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1436208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDP00787007OtherRAILROAD MEDICARE
SD7300802Medicaid
NE04015OtherBCBS
SDP00787007OtherRAILROAD MEDICARE
SD7300802Medicaid
SDS103202Medicare PIN