Provider Demographics
NPI:1710152061
Name:EIDE, MICHAEL K (MD)
Entity Type:Individual
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First Name:MICHAEL
Middle Name:K
Last Name:EIDE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6601 S MINNESOTA AVE
Mailing Address - Street 2:200
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108
Mailing Address - Country:US
Mailing Address - Phone:605-336-6294
Mailing Address - Fax:605-336-0266
Practice Address - Street 1:6601 S MINNESOTA AVE
Practice Address - Street 2:200
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108
Practice Address - Country:US
Practice Address - Phone:605-336-6294
Practice Address - Fax:605-336-0266
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2023-01-03
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Provider Licenses
StateLicense IDTaxonomies
SD7717207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology