Individual provider · Type 1 NPI

Ethan Roth Stofferan

Surgical Physician Assistant · Dakota Dunes, SD

NPI number 1508437559 Active

Practice location

575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312

Call (605) 217-2667 Map

Fax (605) 217-2900

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1508437559

Ethan Roth Stofferan's National Provider Identifier is 1508437559, issued on Jul 9, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dakota Dunes, SD. The record was last updated on Jul 9, 2021.