Provider Demographics
NPI:1437143724
Name:LINDEMANN, JANET C (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:C
Last Name:LINDEMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:605-312-7607
Mailing Address - Fax:605-312-7611
Practice Address - Street 1:1205 S GRANGE AVE
Practice Address - Street 2:STE 510
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-0407
Practice Address - Country:US
Practice Address - Phone:605-328-0020
Practice Address - Fax:605-328-0021
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD4210207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0983999*Medicaid
MN408716000Medicaid
SD5610090Medicaid
SDS4943Medicare ID - Type Unspecified
SD5610090Medicaid