Most Relevant Information
Provider Data
| NPI Number: | 1003816885 |
| Provider Name: | GLENN A. RIDDER MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 3483 |
Most Important Dates
| Enumeration Date: | 07/22/2005 |
| Last Updated: | 03/31/2022 |
Provider Practice Location
6110 S MINNESOTA AVE
SIOUX FALLS
SD
571082549
Practice Location Phone/Fax
| Phone: | 6053285800 |
| Fax: | 6053285814 |
Provider Mailing Location
PO BOX 5074
SIOUX FALLS
SD
571175074
Provider Mailing Phone/Fax
| Phone: | 6053289556 |
| Fax: | 6053289501 |
Suggested EMR
Family Practice EMR