Most Relevant Information
Provider Data
| NPI Number: | 1003234832 |
| Provider Name: | KATHERINE BONNICHSEN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | 10974 |
Most Important Dates
| Enumeration Date: | 03/29/2014 |
| Last Updated: | 12/28/2018 |
Provider Practice Location
AVERA MEDICAL GROUP PIERRE - HELMSLEY CENTER
801 E SIOUX AVE
PIERRE
SD
57501
Practice Location Phone/Fax
| Phone: | 6059455217 |
| Fax: |
Provider Mailing Location
AVERA MEDICAL GROUP PIERRE - HELMSLEY CENTER
801 E SIOUX AVE
PIERRE
SD
57501
Provider Mailing Phone/Fax
| Phone: | 6059455217 |
| Fax: |