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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ETHAN TANNER O'CONNELL, M.D.

Active

DR. ETHAN TANNER O'CONNELL, M.D. is a Emergency Medicine healthcare provider located in BEMIDJI, Minnesota. NPI 1306097928 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · BEMIDJI, MN

Registration Details

NPI Number
1306097928
Provider Type
Individual
Gender
Male
NPI Issued
Oct 1, 2008 (17.867505804285 yrs)
Last Updated
Sep 27, 2012
Licenses
TL1362 (WY)
4301092736 (MI)
106348 (MN)

Practice Information

Address
1233 34TH ST NW
BEMIDJI, MN, 566015112
Browse MN providers · Browse ZIP 56601
Phone
2183335596
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
General Surgery
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in BEMIDJI, MN

Name Credential NPI
DR. PEDRO ISAAC PEREZ M.D. 1851335855
DR. PAUL C. HOWES M.D. 1265448245
DR. JAYTEN SHOOK D.O.; MS 1518227073
DR. MICAH RICHARD TREUER MD 1285994517
MRS. ANDREA LYN PATTEN MD 1073856100
MATTHEW AARON HALLANGER D.O. 1023451689
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.