Individual provider · Type 1 NPI
Ethan David Burdman, PA-C, MPAS
Medical Physician Assistant · Gettysburg, SD
NPI number
1710130190
Active
Practice location
608 E Garfield Ave
Gettysburg, SD 57442-1325
Fax (605) 765-3212
Mailing address
1515 Village Dr
Cottage Grove, OR 97424-9700
Other practice locations
- 1515 Village Dr, Cottage Grove, OR 97424-9700 · (541) 767-5222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0692 (SD) |
| Physician Assistant | 363A00000X | PA164996 (OR) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
- Mid Dakota PodiatryFoot & Ankle Surgery Podiatrist Gettysburg, SD NPI 1053546762
- Rural Health Care, Inc.Federally Qualified Health Center (FQHC) Gettysburg, SD NPI 1265420004
- Rena J. Robbennolt, CNPFamily Nurse Practitioner Gettysburg, SD NPI 1851370746
- Stephen John Knoble, PA-CMedical Physician Assistant Gettysburg, SD NPI 1245230937
Other medical physician assistant providers in Gettysburg
About NPI 1710130190
Ethan David Burdman, PA-C, MPAS's National Provider Identifier is 1710130190, issued on Oct 29, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gettysburg, SD. The record was last updated on Sep 10, 2025.