IndividualActive
Davis Bloemendaal, PA-C
NPI 1558037432 · Physician Assistant · Dakota Dunes, SD
Provider details
- NPI number
- 1558037432
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Practice location
575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone: (605) 217-2667
Mailing address
575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Registry dates
- Enumerated
- 2021-08-19
- Last updated
- 2022-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.