SUSAN FANTA

YANKTON MEDICAL CLINIC PC

Dr SUSAN FANTA is a female medical professional, specializing in Internal Medicine. She graduated in 1993 from University Of Nebraska College Of Medicine.

Contact

YANKTON MEDICAL CLINIC PC

1104 W 8TH ST
YANKTON
SD
570783306

Tel: 6056657841

SUSAN FANTA Information

Npi 1326049313
Pac Id 5890823777
Professional Enrollment Id I20100513000822
Last Name FANTA
First Name SUSAN
Middle Name
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year 1993
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name YANKTON MEDICAL CLINIC PC
Group Practice Pac Id 1850208778
Number Of Group Practice Members 58
Line 1 Street Address 1104 W 8TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City YANKTON
State SD
Zip Code 570783306
Phone Number 6056657841
Hospital Affiliation Ccn 1 430012
Hospital Affiliation Lbn 1 AVERA SACRED HEART HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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