Individual provider · Type 1 NPI

Maria Sebalia Koenen, MD

Student in an Organized Health Care Education/Training Program · Sioux Falls, SD

NPI number 1013573138 Active

Practice location

1400 W 22nd St
Sioux Falls, SD 57105-1554

Mailing address

5400 S Graystone Ave Apt 12
Sioux Falls, SD 57108-8743

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013573138

Maria Sebalia Koenen, MD's National Provider Identifier is 1013573138, issued on May 14, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sioux Falls, SD. The record was last updated on Apr 7, 2023.