JAY ALAN DETERMAN

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

Specialist/Technologist, Athletic Trainer License: SD #0700

Physician Assistant Primary

LOCATION

855 12TH ST NW APT 206

VALLEY CITY, ND, 580722042

MAILING

701 15TH ST SE APT 311

ORANGE CITY, IA, 510411877