NPI 1053387522

Amy L Dietrich, PAC

Practitioner Physician Assistant Dakota Dunes, SD

Practice location

Address: 705 Sioux Point Rd STE 100, Dakota Dunes, SD 57049
Phone: (605) 217-5500
Fax: (605) 217-5515

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0598 (SD)

Other Physician Assistant providers in South Dakota →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence L1728 (SD)

Registry record

NPI: 1053387522
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Feb 2006
Record last updated: 26 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.