Individual
DAVID D AXTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS PA-C
Contact information
Practice address
1400 S GLENDALE AVE, 1305 W. 18TH ST., SIOUX FALLS, SD 57105-1416
(605) 360-5369
Mailing address
1400 S GLENDALE AVE, PO BOX 5036, SIOUX FALLS, SD 57105-1416
(605) 274-2587
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0428
SD
363A00000X
Physician Assistant
Primary
100569
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6821932
—
SD
Enumeration date
02/13/2006
Last updated
03/25/2022
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