EXAMINER So Much Care, So Close to Home at Yankton Medical Clinic Fall/Winter 2026 Precision in expert hands How advanced surgery helps women heal faster
2 yanktonmedicalclinic.com Models may be used in photos and illustrations. 2026 © Coffey Communications, Inc. All rights reserved. EXAMINER is published as a community service for the residents of the service area of Yankton Medical Clinic, P.C., an Avera Partner, 1104 West 8th St., Yankton, SD 57078 yanktonmedicalclinic.com | 605-665-7841 OUR MISSION To provide timely, compassionate, quality care to all who seek that care, with respect for and trust in those we serve. OUR VISION To be an independent regional center of medical excellence committed to quality care and medical education. What is heart valve disease? Your heart has an important job: pumping blood throughout your body. Four valves inside your heart—the pulmonary, aortic, tricuspid and mitral valves—help this muscular organ do its work. Valves regulate the flow of blood into the heart, through each of the four chambers and back out of the heart. They open and close at precisely the right time to enable this movement. If one or more of the heart’s valves stop functioning correctly, your heart can’t do its job as efficiently. This is called heart valve disease, a general term for several conditions that can affect your heart valves. For instance, a valve may not open all the way, partially blocking blood flow. Or a malfunctioning valve may not close all the way, causing blood to leak backward instead of moving forward. Underdiagnosed and undertreated More than 5 million Americans— many of them older adults— have heart valve disease. It’s often underdiagnosed and undertreated, and it causes more than 25,000 deaths per year. Heart valve disease can be congenital—a condition you’re born with—but it also can be caused by: ● Wear and tear from age. ● Calcium deposits on the valves. ● Heart failure. ● Heart attack. ● High blood pressure. ● Autoimmune conditions, like lupus. ● Radiation therapy to the chest to treat cancer. Diagnosis and treatment Not everyone with heart valve disease experiences symptoms, so it’s possible to have the condition and not know it. When symptoms do appear, they include: ● Chest pain. ● Rapid, irregular heartbeat. ● Weakness. ● Fatigue. ● Shortness of breath. ● Light-headedness. ● Fainting. ● Swelling in the abdomen, feet or ankles. Our cardiologists, Tim Irwin, MD, and Venkata Pajjuru, MD, provide specialized care in dealing with and diagnosing heart valve disease. They may be able to hear a murmur while listening to your heartbeat with a stethoscope. It often sounds like a whoosh or a click. If they detect a murmur, they may confirm the diagnosis using one or more of these tests: ● Echocardiogram. ● Electrocardiogram. ● X-ray or CT scan. ● Exercise test. Heart valve disease can become serious, but it is usually very treatable. Dr. Irwin and Dr. Pajjuru have advanced expertise in treating and monitoring heart valve disease. Treatment typically involves surgery to repair or replace the faulty valves. Sources: American Heart Association; Centers for Disease Control and Prevention; Merck Manuals Online Medical Library Tim Irwin, MD, FACC 605-664-2741 Venkata Pajjuru, MD, FACC 605-664-2741
Fall/Winter 2026 3 Comprehensive obesity care is closer than you think One of Nebraska’s most highly qualified physicians in the treatment of obesity and metabolic disease is practicing right here in northeast Nebraska and southeast South Dakota. Enas Al Zaghal, MD, of Yankton Medical Clinic, P.C., an Avera Partner, is board-certified in obesity medicine, a distinction that reflects advanced training in the prevention, evaluation and treatment of obesity as a chronic medical disease. What is obesity medicine? Obesity medicine is a specialized field that recognizes obesity as a complex, chronic medical condition, not simply a matter of diet or willpower. Physicians with this board certification receive advanced training in the many factors that influence weight, including genetics, hormones, metabolism, medications and lifestyle. Care is individualized and focused on improving overall health while reducing the risk of conditions such as diabetes, heart disease, high blood pressure and sleep apnea. In addition to this certification, Dr. Al Zaghal is also boardcertified in endocrinology, diabetes, metabolism and internal medicine, allowing her to provide comprehensive care for patients with diabetes, thyroid disorders, hormone imbalances and other metabolic conditions. “Obesity is a complex medical disease that requires a comprehensive, individualized approach,” Dr. Al Zaghal says. “My goal is to help patients improve their long-term health using evidence-based treatment tailored to their needs.” Enas Al Zaghal, MD Endocrinology, Diabetes, Metabolism and Obesity Specialist 605-665-1722 Expert guidance for your health journey Yankton Medical Clinic, P.C., an Avera Partner, is proud to offer this level of specialty care close to home. Dr. Al Zaghal sees patients in both Norfolk, Nebraska, and Yankton, South Dakota. Appointments in Norfolk (Fountain Point Medical Community): 402-844-8110 or Yankton (Yankton Medical Clinic): 605-665-1722. New physicians at Yankton Medical Clinic Yankton Medical Clinic is pleased to welcome three new physicians to our clinic. Kate Haiar, MD Dr. Haiar is an internal medicine physician with a specialty in geriatrics. She is seeing patients in our internal medicine department and is scheduling patients at 605-665-1082. Jordyn Kreutzfeldt, MD Dr. Kreutzfeldt, an oncologist, is located in the Avera Cancer Institute, at 2601 Fox Run Parkway, in Yankton. You can schedule with her by calling 605-655-1800. Nicholas Pekas, MD, PhD Dr. Pekas is a neurologist located at the 9th Street Medical Plaza, 1001 W. 9th St., in Yankton. He is scheduling patients at 605-655-1070. With the addition of these three highly skilled physicians, Yankton Medical Clinic adds two specialty services— oncology and neurology—for our patients’ needs. Please join us in welcoming these physicians to our clinic!
4 yanktonmedicalclinic.com World-class technology. Trusted local care. When you need surgery, you want the best care possible—and you want it close to home. Thanks to the Intuitive da Vinci Xi® Robotic Surgical System, women in our region have access to one of today’s most advanced surgical technologies, along with the region’s expert gynecological surgeons, without leaving Yankton. The da Vinci Xi surgical robot is located at Avera Sacred Heart Hospital in Yankton, where Annie L. Siewert, MD, MS, FACOG, an OB‑GYN at Yankton Medical Clinic and Medical Director of the Avera Health System Women’s Service Line, performs a variety of minimally invasive gynecologic procedures for women throughout southeast South Dakota and northeast Nebraska. Very soon, Yankton Medical Clinic OB-GYNs Jill Sternquist, MD, FACOG, and Emma Bye, MD, FACOG, will also be performing surgeries using the da Vinci Xi. Your surgeon is always in control One of the biggest misconceptions about robotic surgery is that the robot performs the operation. In reality, every movement of the da Vinci Xi is completely controlled by the surgeon. While seated at a nearby surgeon’s console, they view the surgical area through a magnified, high-definition 3D camera and precisely guide tiny surgical instruments that can move with remarkable flexibility. The robotic system simply translates their hand movements into smaller, more precise movements inside the body. Adds Dr. Siewert, “It is much easier to see and evaluate with the robotic camera. I would much rather operate using the robotic assistance and camera than with even an open procedure, ADVANCED SURGERY that puts women first Annie L. Siewert, MD, MS, FACOG
Fall/Winter 2026 5 surgical options that can improve recovery and quality of life. Patients consistently praise her for taking time to listen, explaining treatment options clearly, and helping them feel comfortable and confident in their care. Keeping advanced care close to home Not long ago, women needing advanced minimally invasive gynecologic surgery often had to travel to larger metropolitan medical centers. Today, patients have access to advanced robotic surgical technology right here in Yankton. That means less travel, more convenience for families and the confidence of receiving sophisticated surgical care from a trusted local physician in a familiar hospital close to home. Is robotic surgery right for you? Not every patient or every procedure requires robotic surgery. During your consultation, your Yankton Medical Clinic OB-GYN will carefully evaluate your condition and discuss all available treatment options to determine the approach that’s best for your individual needs. If robotic surgery is recommended, you can feel confident knowing that you’re receiving state-of-theart technology combined with the expertise needed. “It’s an amazing system that truly has revolutionized surgical techniques in gynecology,” says Dr. Siewert. because the visualization is so much better.” The da Vinci difference The da Vinci Xi represents the latest generation of roboticassisted surgical technology. It was designed to perform more complex surgical cases in a minimally invasive fashion. “While every patient is different, in my experience, it seems that women undergoing laparoscopic procedures have better and shorter recovery times due to the minimally invasive procedure,” says Dr. Siewert. Procedures performed Dr. Siewert uses the da Vinci Xi for a variety of gynecologic procedures, including: ● Laparoscopic hysterectomy. ● Oophorectomy. ● Ovarian cyst removal. ● Treatment of endometriosis. ● Treatment of pelvic pain. ● Pelvic adhesive disease. Experience you can trust Dr. Siewert is a board-certified obstetrician and gynecologist and a fellow of the American College of Obstetricians and Gynecologists. She has been doing robotics for 12 years, and from Sioux Falls to Yankton and beyond, she is considered the regional expert on the da Vinci Xi Robotic Surgical System. Throughout her career, Dr. Siewert has provided compassionate, personalized care while offering women access to advanced LEFT: Annie L. Siewert, MD, MS, FACOG, uses the da Vinci Xi Robotic Surgical System to give women better results from surgery. Having advanced robotic surgery here in Yankton means women throughout our area can receive outstanding care from trusted medical providers without having to travel far from home. Take the next step with confidence Dr. Siewert is currently accepting new patients at Yankton Medical Clinic. Call 605-665-5538 or visit yanktonmedicalclinic.com/scheduling to make an appointment.
6 yanktonmedicalclinic.com Yankton Medical Clinic, P.C. Primary Care Specialty Care FAMILY MEDICINE AUDIOLOGY ONCOLOGY CARDIOLOGY EAR, NOSE AND THROAT ORTHOPEDIC SURGERY ORTHOPEDIC SURGERY Tim Irwin, MD, FACC* 605-664-2741 DERMATOLOGY Scott Kindle, MD* 605-664-2741 David Abbott, MD* 605-665-0062 RADIOLOGY Jennifer Murphy, PA-C 605-665-1152 Jordan Kreutzfeld, MD 605-655-1800 NEUROLOGY Nicholas Pekas, MD, PhD 605-655-1070 Brent Adams, MD, ABOS* General Orthopedics and Spine Specialist 605-665-1722 Tom Viereck, CNP 605-665-1722 PHYSICAL MEDICINE Judith R. Peterson, MD* 605-665-1152 Becky Sawatzke, PA-C 605-665-1152 OBSTETRICS AND GYNECOLOGY PEDIATRICS Martha Holstein, MD, FACP, FAAP* 605-665-1152 Visit yanktonmedicalclinic.com/scheduling and follow the prompts. INTERNAL MEDICINE Venkata Pajjuru, MD, FACC* 605-664-2741 PULMONOLOGY Linda Reese, MPAS, PA-C 605-665-1152 Michael P. Pietila, MD, FCCP, FACP* Critical Care 605-665-1152 Liz Wortmann, CNP 605-664-2741 Self-schedule your appointment online! NEPHROLOGY Byron S. Nielsen, MD* 605-665-1082 Katie Rasmussen, APRN 605-665-1082 Shay Thoene, FNP 605-665-8910 OPHTHALMOLOGY Trevor Kindle, MD* 605-655-1830 Luke Rockne, OD 605-655-1830 OPTOMETRY Shay Thoene, FNP 605-665-8910 Jennifer McGinnis, CNP 605-665-8910 Jordan Schild, MD* 605-665-8910 Abigail Reynolds, MD* 605-665-8910 Carrissa Pietz, MD* 605-665-8910 Elizabeth Nicholas, MD* 605-665-8910 McKenzie Hanson, MD* 605-665-8910 Jill F. Sternquist, MD, FACOG* 605-665-5538 Annie Siewert, MD, FACOG* 605-665-5538 Amy M. Eichfeld, MD, FACOG* 605-665-5538 Emma Bye, MD, FACOG* 605-665-5538 Jason R. Howe, MS, FAAA, CCC-A 605-665-0062 Beth Beeman, AuD, CCC-A, FAAA 605-665-0062 Ben LaCrosse, MD* 402-379-2349 Will R. Eidsness, MD* 605-665-7841
Fall/Winter 2026 7 Vermillion Medical Clinic INTERNAL MEDICINE Susan E. Fanta, MD* 605-665-1082 Robert Nicholas, MD* 605-665-0062 Jeremy Kudera, MD, ABOS* 605-665-1722 Dawn Lauer, MPAS, PA-C 605-665-1722 UROLOGY Christopher Hathaway, MD, PhD* 605-664-2742 Amy Fluit, MPAS, PA-C 605-624-8643 Kate Haiar, MD Internal Medicine, Geriatric Medicine 605-665-1082 *Board-certified +Board-eligible GENERAL SURGERY Jesse L. Kampshoff, MD* 605-664-2742 Luke C. Serck, MD* General and Vascular Surgery Specialist 605-664-2742 Ryan J. Garry, MD, FACS* General and Breast Surgery Specialist 605-664-2742 Ben Lancaster, MD, ABOS* 605-665-1722 Leann Bassing, MD* 605-665-1722 RHEUMATOLOGY 101 S. Plum St., Vermillion, SD 57069 David W. Withrow, MD, FAAP+ 605-665-5538 Matthew D. Krell, MD, FAAP,* Pediatrics 605-624-8643 Michelle Chaussee, MPAS, PA-C 605-624-8643 Ashley Johnson, MPAS, PA-C 605-624-8643 Emily Nelson, CNP 605-624-8643 Yankton Medical Clinic, P.C., Norfolk Alan Spanel, MD* Internal medicine 402-316-4606 Kelly Jueden, CNP Family medicine 402-316-4606 Erin Wolf, AuD, CCC-A, Audiology 402-844-8110 Charles Harper, MD* Internal medicine 402-316-4606 Enas Al Zaghal, MD* Endocrinology 402-844-8110 Brian Kim, AuD, CCC-A, Audiology 402-844-8110 3901 W. Norfolk Ave., Norfolk, NE 68701 Ben LaCrosse, MD* Radiology 402-379-2349 Taylor Lofink, PA-C 605-664-2742 ENDOCRINOLOGY Enas Al Zaghal, MD* Endocrinology, Diabetes, Metabolism and Obesity Specialist 605-665-1722 With our regular clinic hours plus ConvenientCare open for walk-in appointments, you’ll get the care you need, when you need it: ● Monday–Friday, 5 to 8 p.m. ● Saturday, 9 a.m. to 4 p.m. ● Sunday, noon to 4 p.m. Here for you 7 days a week in Yankton Amanda Sedlacek, DO, MSA, FACP, FACOI, FAAHPM* Internal Medicine, Palliative Medicine 605-665-1152 Martha Holstein, MD, FACP, FAAP* 605-665-1152 Tyler Hanson, MD* 605-665-1082 April K. Willman, MD, FAAP* 605-665-5538 Sara Pepper, MD, FAAP* 605-665-5538 Dawn M. Larson, MD+ 605-665-5538 1104 W. 8th St., Yankton, SD 57078
8 yanktonmedicalclinic.com Cataracts can cloud your view of the world, as though you were looking through a dusty windshield. They form when the natural lens of the eye becomes cloudy and, without treatment, can make it hard for you to see. Cataracts are most often a result of age-related changes in the eyes. Less often, they can be caused by other things, like traumatic eye injury. Because cataracts are so common, it pays to know a few facts about them. 1. You can be born with a cataract. It’s rare, but sometimes babies can be born with a cataract or develop one early in childhood. These congenital cataracts are easy to spot during an infant checkup. 2. The overwhelming majority of patients will develop cataracts at some point in their lifetime. While typically cataract surgery occurs when a patient is in their late 60s or early 70s, each cataract progresses at its own rate, and surgery is performed on patients of a wide range of ages. 3. Diabetes can cause early cataracts. High blood sugar affects the body from head to toe, and the eyes are no exception. It changes the eyes’ lenses in ways that speed up the growth of cataracts. Your risk is related to how long you have diabetes and how well it’s controlled. 4. A variety of vision changes can signal cataracts. In addition to cloudy, dim or blurry vision, cataracts can cause: ● Double (ghost) images. ● More glare than usual at night from streetlights or car headlights. ● Colors to appear faded or yellowish. ● A need for more light at night to read. 5. Surgery can remove cataracts. Cataract surgery replaces the cloudy lens with a clear, artificial one. You might be a candidate if you have cataracts that interfere with your daily life. Cataracts will not form on the artificial lens, but sometimes scar tissue can facts about cataracts What to know about this common eye condition 6 Ophthalmologist Trevor Kindle, MD, performs cataract surgery right here in Yankton, eliminating the need for patients to drive out of the area.
Fall/Winter 2026 9 cause what’s called a secondary cataract. This can also be corrected with a quick procedure. 6. You can take steps to prevent or delay cataracts. Help reduce your risk by: ● Wearing ultraviolet (UV)- blocking sunglasses. ● Avoiding smoking. ● Eating nutritious foods that promote eye health. ● Wearing protective eyewear while playing sports or using power tools. Talk to ophthalmologist Trevor Kindle, MD, to learn more about cataracts and ways to manage or help prevent them. Dr. Kindle performs cataract surgery in Yankton, allowing you to stay local and eliminating the need to drive for surgery. See a vision expert Dr. Kindle is located at Yankton Medical Clinic Eye Care, along with optometrist Luke Rockne, OD. To make an appointment, call 605-655-1830. Sources: American Academy of Ophthalmology; American Diabetes Association; National Eye Institute Trevor Kindle, MD
10 yanktonmedicalclinic.com Arthritis of the hands can make daily tasks—like opening jars or buttoning a shirt—a challenge. Fortunately, the Arthritis Foundation and other experts offer helpful tips for managing pain, stiffness and swelling. 1. Exercise and stretch your hand. Movement can help keep your hand joints flexible, strong and less achy. Try this finger stretch using a table or other flat, stable surface: ● Put your hand palm down, fingers together. Stabilize your wrist by holding it with your other hand. ● Spread your fingers and thumb. Hold for 5 seconds. ● Close your fingers together again. Repeat five times, then switch hands. Try this finger-touch exercise: ● Hold your hand in front of your face with your palm facing you, fingers straight. ● One at a time, touch each finger to your thumb to form a series of OK signs. 2. Wear a splint. Splints may help with pain relief, especially if your arthritis affects the base of your thumb. Your doctor can help you decide if a splint is right for you. 3. Choose hand-friendly tools. If pain or stiffness interferes with your daily tasks, look for scissors, kitchen utensils, pens, and jar and bottle openers designed for people with hand arthritis. 4. Try heat or ice therapy. Apply heat to your hands by using heat wraps or paraffin wax. Try using a cold pack for cold therapy. Use heat or cold to see which helps the most. 5. Consider topical treatments. Topical nonsteroidal antiinflammatory drugs (NSAIDs) can help relieve pain. Most come in a cream that you apply to the skin over the affected area. And creams containing capsaicin or menthol can act as counterirritants, relieving pain. Always let your doctor know about any medicines or supplements you take. If you or a loved one is suffering from joint pain, you won’t know how much better it’s possible to feel if treatment isn’t pursued. Sources: AARP; Arthritis Foundation; National Institute of Arthritis and Musculoskeletal and Skin Diseases; UpToDate GET A GRIP on arthritis pain Leann Bassing, MD Rheumatology 605-665-1722 Talk to your doctor Leann Bassing, MD, board-certified rheumatologist, is your best resource for any arthritis or other rheumatology healthcare needs. You can schedule with her directly at 605-665-1722.
A football game. A morning run before work. A youth baseball tournament. Volleyball. Pickleball. What do all these things have in common? They’re among the many ways you or your child can wind up with a sports injury. Sports injuries typically involve bones, joints, muscles and other musculoskeletal tissues. And they’re not just a problem for competitive athletes. Anyone who’s active can wind up with an injury that sidelines them from their favorite pastime or even their job. Sports injuries can happen suddenly—for instance, if you collide with another athlete or roll your ankle. They may also come on gradually due to repeating the same motion, such as throwing a ball or swinging a club. You might have sudden (acute) symptoms or ongoing (chronic) aches and pains. Common sports injuries include: ● Shoulder injuries, such as rotator cuff tears. ● Elbow injuries, such as tennis, golf and Little League elbow. ● Knee injuries, such as runner’s knee; meniscus tears; and anterior cruciate ligament, or ACL, tears. ● Ankle injuries, such as sprains and Achilles tendon tears. Nonorthopedic injuries, such as concussions, are also common during sports. What treatments are available? For minor injuries, doctors often recommend treating pain and swelling with RICE: ● Rest. Rest the injured area. ● Ice. Apply a cold pack several times a day. ● Compression. Use a compression bandage to help manage swelling. Jeremy Kudera, MD, ABOS 605-665-1722 Brent Adams, MD, ABOS General Orthopedics and Spine Specialist 605-665-1722 Ben Lancaster, MD, ABOS 605-665-1722 Treating sports injuries Orthopedic experts can help you get back in the game ● Elevation. Elevate the injury—for instance, prop a sprained ankle up with several pillows so it’s above the level of your heart. Get help if you have signs of a more serious injury, such as severe pain, swelling or bruising; pain and swelling that last more than a few days; or the injured area’s inability to bear weight. For prompt evaluation of sports injuries, our clinic accepts walk-in patients for acute care with family medicine providers Monday through Friday, 8 a.m. to 8 p.m., and Saturday and Sunday, noon to 4 p.m. If needed, they consult with our orthopedic team. If you’d like to schedule directly with our orthopedic surgeons, call 605-665-1722. Fall/Winter 2026 11 Sources: American Academy of Orthopaedic Surgeons; American Academy of Pediatrics; National Institute of Arthritis and Musculoskeletal and Skin Diseases
Need a prescription refill? Our pharmacy is open: ● Monday–Friday, 8:30 a.m. to 8 p.m. ● Saturday, 8:30 a.m. to 4 p.m. ● Sunday, noon to 4 p.m. Call 605-665-2929 for your prescription refills. Pharmacy drive-thru service is available! 1104 West 8th Street Yankton, SD 57078 Standard U.S. Postage PAID Walla Walla, WA Permit No. 44 Nebraska Creighton, NE Avera Creighton Hospital 402-358-5700 ● Jesse Kampshoff, MD* General surgery Norfolk, NE Yankton Medical Clinic, P.C.–Norfolk 402-844-8110 ● David Abbott, MD* Ear, nose and throat ● Ryan J. Garry, MD, FACS* General and breast surgery ● Christopher Hathaway, MD, PhD* Urology ● Robert Nicholas, MD* Ear, nose and throat ● Byron Nielsen, MD* Nephrology ● Michael Pietila, MD, FCCP, FACP* Pulmonology Care near youWe provide specialty care in 14 locations outside of Yankton. O’Neill, NE Avera St. Anthony’s Hospital Specialty Clinic 402-336-5122 ● Ben Lancaster, MD* Orthopedic surgery ● Byron Nielsen, MD* Nephrology ● Michael Pietila, MD, FCCP, FACP* Pulmonology ● Amanda Sedlacek, DO, MSA, FACP, FACOI, FAAHPM* Palliative medicine (telehealth visits) Osmond, NE Osmond General Hospital 402-748-3393 ● Jesse Kampshoff, MD* General surgery Plainview, NE Plainview Area Health System 402-582-4245 ● Jesse Kampshoff, MD* General surgery Santee, NE Santee Outreach Clinic 402-857-2300 ● Sara Pepper, MD* Pediatrics South Dakota Freeman, SD Freeman Regional Health Services 605-925-4219 ● Jill F. Sternquist, MD, FACOG* Obstetrics-gynecology Gregory, SD Avera Gregory Hospital 605-835-8394 ● Amanda Sedlacek, DO, MSA, FACP, FACOI, FAAHPM* Palliative medicine (telehealth visits) Parkston, SD Avera St. Benedict Health Center 605-928-3311 ● Michael Pietila, MD, FCCP, FACP* Pulmonology Sioux Falls, SD Royal C. Johnson Veterans' Memorial Hospital 605-336-3230 ● Leann Bassing, MD* Rheumatology Tyndall, SD Bon Homme Family Practice Clinic 605-589-3322 ● Ryan J. Garry, MD, FACS* General and breast surgery Vermillion, SD Vermillion Medical Clinic 605-624-8643 ● Amy M. Eichfeld, MD, FACOG* Obstetrics-gynecology ● Jason Howe, MS, FAAA, CCC-A Audiology ● Jesse Kampshoff, MD* General surgery ● Jeremy Kudera, MD, ABOS* Orthopedic surgery ● Robert Nicholas, MD* Ear, nose and throat ● Venkata Pajjuru, MD, FACC* Cardiology ● Linda Reese, MPAS, PA-C Pulmonology ● Jill F. Sternquist, MD, FACOG* Obstetrics-gynecology Wagner, SD Wagner Community Avera ● Brent Adams, MD, ABOS* Orthopedic surgery 605-665-1722 ● Byron Nielsen, MD* Nephrology 605-665-1082 ● Venkata Pajjuru, MD, FACC* Cardiology Wagner Indian Health Service Clinic ● Emma Bye, MD, FACOG* Obstetrics-gynecology 605-384-3621 *Board-certified +Board-eligible
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