IndividualActive
Wanda Dally, MT
NPI 1740497775 · Medical Technologist · Wagner, SD
Provider details
- NPI number
- 1740497775
- Entity type
- Individual
- Primary specialty
- Medical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- MT
- Sex
- Female
- Sole proprietor
- No
- License
- 185598 (SD)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
111 Washington Ave Nw
Wagner, SD 57380
Phone: (605) 384-3621
Fax: (605) 384-3293
Approximate (ZIP-level) locationGet directions
Mailing address
111 Washington Ave Nw
Wagner, SD 57380
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.