DEXTER M GENSOLIN MD

EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL

Dr DEXTER M GENSOLIN MD is a male medical professional, specializing in Family Medicine. He graduated in 1985.

Contact

EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL

24276 166TH AIRPORT RD
EAGLE BUTTE
SD
57625

Tel: 6059647724

DEXTER M GENSOLIN MD Information

Npi 1942319652
Pac Id 6305814294
Professional Enrollment Id I20181128000087
Last Name GENSOLIN
First Name DEXTER
Middle Name M
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1985
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL
Group Practice Pac Id 7517852759
Number Of Group Practice Members 33
Line 1 Street Address 24276 166TH AIRPORT RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAGLE BUTTE
State SD
Zip Code 57625
Phone Number 6059647724
Hospital Affiliation Ccn 1 430083
Hospital Affiliation Lbn 1 PHS INDIAN HOSPITAL AT EAGLE BUTTE
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

Do you know DEXTER M GENSOLIN MD?

Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.