Wanda J Ethen MD

  • NPI 1154365393
According to our database, the NPI number for Wanda J Ethen MD is 1154365393 and activated since 17 years ago. Wanda J Ethen MD is an individual provider who specializes in Internal Medicine, and the primary practice location is 4155 County Road 101 N, Plymouth, MN 55446. You can also contact Wanda J Ethen MD via telephone number is (952) 993-8900. Provider NPI information was last updated on 06/30/2016.

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Overview of Wanda J Ethen MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/16/2006
  • Last updated: 06/30/2016

Primary Scrop of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 116865
  • License State: MO

Provider Mailing Address

  • Address: 8170 33rd Ave S
    Po Box 1309 Mail Stop 21110q
    Minneapolis, MN 55425
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 4155 County Road 101 N
    Plymouth, MN 55446
  • Phone: 952-993-8900
  • Fax:

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 116865
  • License State: MO
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 160026
  • Identifier Type: Other
  • Identifier State:
  • Issuer: BCBS

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Wanda J Ethen MD?
  • A: The npi number for Wanda J Ethen MD is 1154365393.
  • Q: What are Wanda J Ethen MD's specialties?
  • A: Wanda J Ethen MD's specialties are Internal Medicine and different specialities.
  • Q: What is the medical license for Wanda J Ethen MD?
  • A: The medical license number for Wanda J Ethen MD is 116865 and issued in MO in USA.
  • Q: Where is Wanda J Ethen MD practice location?
  • A: Wanda J Ethen MD is practicing at 4155 County Road 101 N, Plymouth, MN 55446.
  • Q: How to contact Wanda J Ethen MD?
  • A: You can contact Wanda J Ethen MD via 952-993-8900.