Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHEL SUSAN HERSKOVIC, DO
ActiveDR. ETHEL SUSAN HERSKOVIC, DO is a Diagnostic Radiology healthcare provider located in EDEN PRAIRIE, Minnesota. NPI 1104130269 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · EDEN PRAIRIE, MN
Registration Details
- NPI Number
- 1104130269
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2010 (16.05953888666 yrs)
- Last Updated
- Nov 5, 2021
- Licenses
-
OS18042 (FL)125053522 (IL)
Practice Information
- Address
-
11995 SINGLETREE LN STE 500EDEN PRAIRIE, MN, 553445349Browse MN providers · Browse ZIP 55344
- Phone
- 9525951301
- Fax
- 6122944903
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in EDEN PRAIRIE, MN
| Name | Credential | NPI |
|---|---|---|
| CATHLEEN ANN IVY | MD | 1851394944 |
| MURRAY O HAMILTON | MD | 1790788628 |
| ASPAN SINGH OHSON | — | 1689678559 |
| DR. JOAN H SUTCLIFFE | M.D. | 1871597799 |
| DR. BARBARA ELAINE TAYLOR | M.D. | 1770588006 |
| DR. JEFFREY B CUTLER | MD | 1164427134 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.