Provider Demographics
NPI:1184242612
Name:SERR, TURNER DAVID
Entity type:Individual
Prefix:
First Name:TURNER
Middle Name:DAVID
Last Name:SERR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5808 W OAKCREST DR
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57107-0997
Mailing Address - Country:US
Mailing Address - Phone:605-830-0145
Mailing Address - Fax:
Practice Address - Street 1:5808 W OAKCREST DR
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57107-0997
Practice Address - Country:US
Practice Address - Phone:605-830-0145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD2000038730OtherCERTIFICATION NUMBER