Individual
KATIE TETZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 22ND AVE, BROOKINGS, SD 57006-2450
(605) 697-9500
Mailing address
400 22ND AVE, BROOKINGS, SD 57006-2450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1294
SD
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/23/2016
Last updated
07/16/2021
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