Provider Demographics
NPI:1548205123
Name:OPPOLD, YVONNE SEGER (MD)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:SEGER
Last Name:OPPOLD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:BETH
Other - Last Name:SEGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3718 E FOX RUN PLACE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-7196
Mailing Address - Country:US
Mailing Address - Phone:605-553-6094
Mailing Address - Fax:
Practice Address - Street 1:PIPESTONE COUNTY MEDICAL CENTER & FAMILY CLINIC
Practice Address - Street 2:916 4TH AVE SW
Practice Address - City:PIPESTONE
Practice Address - State:MN
Practice Address - Zip Code:56164-1065
Practice Address - Country:US
Practice Address - Phone:507-825-5811
Practice Address - Fax:507-825-5733
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN67046207V00000X
SD3445207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6200633Medicaid
MN218380300Medicaid
SD6200632Medicaid
SDP00850929OtherRAILROAD MEDICARE
IA1969972Medicaid
MN218380300Medicaid
SD6200633Medicaid
MN218380300Medicaid