Individual
ETHAN DAVID BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 E 20TH ST, SIOUX FALLS, SD 57105-1013
(605) 575-1644
Mailing address
25857 480TH AVE, BRANDON, SD 57005-6810
(605) 595-7734
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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