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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205198082

Ryan Mark Sivertson, MD is a Student in an Organized Health Care Education/Training Program in Sioux Falls, South Dakota. Licensed in Michigan and South Dakota. Registered with an NPI since 2012.

Licensed in
MI, SD
In the registry since
2012
Specialties on file
3
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

1305 W 18th St
Sioux Falls, SD 57105-0401
Phone: (605) 333-1000
Fax: (605) 328-4560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 9573 (SD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301101181 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4301101181 (MI)

Record details

NPI number1205198082
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2012
Last updated in NPPESJune 28, 2019

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