Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Marc E Boddicker, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1235103060

Dr. Marc E Boddicker, MD is an MOHS-Micrographic Surgery Physician in Rapid City, South Dakota. Practices as a sole proprietor. Licensed in South Dakota.

Licensed in
SD
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5410 Sheridan Lake Rd
Rapid City, SD 57702-9208
Phone: (605) 390-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 1485 (SD)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 1485 (SD)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 1485 (SD)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 1485 (SD)

Record details

NPI number1235103060
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 16, 2006
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

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