NPI 1104371897

Katie Tetzlaff, PAC

Practitioner Physician Assistant Brookings, SD

Practice location

Address: 400 22nd Ave, Brookings, SD 57006-2450
Phone: (605) 697-9500

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in South Dakota →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1294 (SD)

Registry record

NPI: 1104371897
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Aug 2016
Record last updated: 16 Jul 2021

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.