Provider Demographics
NPI:1679549471
Name:DEUTSCHER, CINDY (PAC)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:
Last Name:DEUTSCHER
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 N PRAIRIE ST
Mailing Address - Street 2:
Mailing Address - City:FLANDREAU
Mailing Address - State:SD
Mailing Address - Zip Code:57028-1243
Mailing Address - Country:US
Mailing Address - Phone:605-997-2471
Mailing Address - Fax:605-997-2418
Practice Address - Street 1:212 N PRAIRIE ST
Practice Address - Street 2:
Practice Address - City:FLANDREAU
Practice Address - State:SD
Practice Address - Zip Code:57028-1243
Practice Address - Country:US
Practice Address - Phone:605-997-2471
Practice Address - Fax:605-997-2418
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0369363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN559533900Medicaid
SD6826514Medicaid
SD9238073OtherDAKOTACARE
SD13252OtherMIDLANDS CHOICE
MN659S5DEOtherBCBS OF MN
MN659S5DEOtherCC SYSTEMS BLUE PLUS
AH9081017524OtherPREFERRED ONE
SD57028A002OtherWPS TRICARE
SD975912OtherARAZ/AMERICA'S PPO
SD4995980OtherBCBS OF SOUTH DAKOTA
SD6826513Medicaid
SD975912OtherARAZ/AMERICA'S PPO
SD57028A002OtherWPS TRICARE
MN659S5DEOtherBCBS OF MN