Most Relevant Information
Provider Data
| NPI Number: | 1003834995 |
| Provider Name: | ELIZABETH DIMITRIEVICH MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207VX0000X |
| Specialty: | Obstetrics & Gynecology |
| License Number: | T3072 |
Most Important Dates
| Enumeration Date: | 07/18/2006 |
| Last Updated: | 08/24/2023 |
Provider Practice Location
625 W 18TH ST
OBGYN SPECIALTY CLINIC
SIOUX FALLS
SD
57105
Practice Location Phone/Fax
| Phone: | 6053380836 |
| Fax: | 6053387890 |
Provider Mailing Location
625 W 18TH ST
OBGYN SPECIALTY CLINIC
SIOUX FALLS
SD
57105
Provider Mailing Phone/Fax
| Phone: | 6053380836 |
| Fax: | 6053387890 |