Provider Demographics
NPI:1578539037
Name:VELOIRA, WILFREDO G JR (MD)
Entity Type:Individual
Prefix:
First Name:WILFREDO
Middle Name:G
Last Name:VELOIRA
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2400 S. MINNESOTA AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-3762
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:1417 S. CLIFF AVE
Practice Address - Street 2:STE, 010
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1014
Practice Address - Country:US
Practice Address - Phone:605-322-3666
Practice Address - Fax:605-322-3665
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2013-12-19
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Provider Licenses
StateLicense IDTaxonomies
SD51102080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD240520OtherMIDLANDS CHOICE
SD57105I005OtherWPS TRICARE
MN600S1VEOtherBLUE CROSS
MN600S1VEOtherCC SYSTEMS/ BLUE PLUS
SD6630910Medicaid
MN000080878OtherPRIMEWEST
SD1876597OtherARAZ/ AMERICA'S PPO
SD34616OtherSANFORD HEALTH PLAN
IA56327OtherBLUE CROSS
SD722801034454OtherPREFERRED ONE
NE46022474339Medicaid
SD370624200OtherDEPT OF LABOR
SD4996136OtherBLUE CROSS
SD5110OtherDAKOTACARE
MN951400700Medicaid
SD4800330OtherMEDICA
SDHP41056OtherHEALTHPARTNERS
IA0569608Medicaid
IA56327OtherBLUE CROSS
SDHP41056OtherHEALTHPARTNERS