IndividualActive
Michael Statz
NPI 1174550628 · Surgery Physician · Rapid City, SD
Provider details
- NPI number
- 1174550628
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 2772 (SD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2820 Mount Rushmore Rd
Rapid City, SD 57701-5462
Phone: (605) 342-3280
Approximate (ZIP-level) locationGet directions
Mailing address
2820 Mount Rushmore Rd
Rapid City, SD 57701-5462
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2007-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.