Individual provider · Type 1 NPI

Ethan Grant Novacinski

Physician Assistant · Des Moines, IA

NPI number 1083356406 Active

Practice location

3200 Grand Ave
Des Moines, IA 50312-4104

Mailing address

9558 Ironwood Dr
St. Joseph, MN 56374-8720

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X14620 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083356406

Ethan Grant Novacinski's National Provider Identifier is 1083356406, issued on Apr 7, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Des Moines, IA. The record was last updated on Sep 27, 2023.