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Ethan Dekam
NPI 1033887385 · on the registry since 2021
Practice
- Address
- 14000 Fairview Dr
Burnsville, MN 55337 - Phone
- (952) 993-8700
- Organisation at this address
- Park Nicollet Methodist Hospital
Park Nicollet Health Care ProductsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 119
Additional practice sites
- 1830 Greenhaven Ln Ne, Owatonna, MN
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Sex
- Male
- Record last updated
- 2023-10-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota