DR. Ethan Tanner O'connell, M.D.

NPI #1306097928 in Bemidji, Minnesota

Provider Information

NPI Number: 1306097928
Entity Type: Individual
Name: DR. Ethan Tanner O'connell, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: M.D.
Enumeration Date: Oct 1, 2008
Last Updated: Sep 27, 2012

Practice Location

Address: 1233 34TH ST NW
City: Bemidji
State: Minnesota
ZIP Code: 56601-5112
Phone: (218) 333-5596

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Surgery	208600000X
Emergency Medicine	207P00000X	Primary

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