Ethan M Dekam
NPI #1033887385 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1033887385
- Entity Type
- Individual
- Name
- Ethan M Dekam
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 1, 2021
- Last Updated
- Oct 20, 2023
Practice Location
- Address
- 14000 FAIRVIEW DR
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-5713
- Phone
- (952) 993-8700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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