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Shannelle Susanne Rico, MD
Family Medicine Physician in Rosebud, South Dakota
NPI 1023078623

Shannelle Susanne Rico is a Family Medicine Physician based in Winnebago, SD. Shannelle Susanne Rico practices in Rosebud, SD and has the professional credentials of MD. The NPI Number for Shannelle Susanne Rico is 1023078623 and holds a License No. 01050363A (South Dakota).

The current practice location address for Shannelle Susanne Rico is Rosebud Ihs Hospital, Rosebud, SD and can be reached out via phone at 605-747-3245 and via fax at 605-747-2216.

Location: Rosebud Ihs Hospital, Rosebud, SD, 68071-0767
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023078623
Provider Name
Shannelle Susanne Rico
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Rosebud Ihs Hospital, Rosebud, SD, 68071-0767
Phone Number
605-747-3245
Fax Number
605-747-2216
Provider Enumeration Date
03/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000378568 01 IN BLUE CROSS
200381310 05 IN
institution
Provider Business Practice Location Address Details
Address
Rosebud Ihs Hospital
City
Rosebud
State
South Dakota
Zip
57570-0400
Phone Number
605-747-3245
Fax Number
605-747-2216
person
Provider Business Mailing Address Details
Address
Rosebud Ihs Hospital
City
Rosebud
State
South Dakota
Zip
57570-0400
Phone Number
605-747-3245
Fax Number
605-747-2216
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01050363A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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