Jon Vander Maten, PA

NPI #1851335905 in Pierre, South Dakota

Provider Information

NPI Number: 1851335905
Entity Type: Individual
Name: Jon Vander Maten, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 16, 2006
Last Updated: Feb 12, 2008

Practice Location

Address: 100 MAC LANE
City: Pierre
State: South Dakota
ZIP Code: 57501-0758
Phone: (605) 224-5901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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