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Individual

MR. ETHAN DAVID BURDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, MPAS

Contact information

Practice address
608 E GARFIELD AVE, GETTYSBURG, SD 57442-1325
(605) 765-2273
(605) 765-3212
Mailing address
1515 VILLAGE DR, COTTAGE GROVE, OR 97424-9700
(541) 767-5222

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA164996
OR
363AM0700X
Medical Physician Assistant
Primary
0692
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0692
SOUTH DAKOTA STATE LICENSE
SD
Enumeration date
10/29/2008
Last updated
09/10/2025
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