Individual
ABBY M GIETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
310 22ND AVE, BROOKINGS, SD 57006-2474
(605) 696-2700
Mailing address
310 22ND AVE, BROOKINGS, SD 57006-2474
(605) 696-2700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0971
SD
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0971
STATE LICENSE
SD
Enumeration date
01/22/2015
Last updated
06/10/2026
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