Provider Demographics
NPI:1295861185
Name:LINDAHL, JOSETTE S (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSETTE
Middle Name:S
Last Name:LINDAHL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:45352 TIMBER RD
Mailing Address - Street 2:
Mailing Address - City:MECKLING
Mailing Address - State:SD
Mailing Address - Zip Code:57044
Mailing Address - Country:US
Mailing Address - Phone:605-267-0105
Mailing Address - Fax:
Practice Address - Street 1:3515 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-7600
Practice Address - Country:US
Practice Address - Phone:605-668-3100
Practice Address - Fax:605-668-3460
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD55592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD100175Medicare PIN
SDH79892Medicare UPIN