OrganizationActive
Profile Plan, LLC
NPI 1194461541 · Obesity Medicine (Preventive Medicine) Physician · Sioux Falls, SD
Provider details
- NPI number
- 1194461541
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Corey Condon, Senior Product Officer(605) 376-6659
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4800 W 57th St
Sioux Falls, SD 57108-2239
Phone: (605) 376-6659
Approximate (ZIP-level) locationGet directions
Mailing address
4800 W 57th St
Sioux Falls, SD 57108-2239
Other names (DBA / former)
- Doing business as
- Profile
Registry dates
- Enumerated
- 2022-05-09
- Last updated
- 2022-05-09
- Certified
- 2022-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.