DR. Ethan Terry Kraft, M.D.

NPI #1316471386 in Baxter, Minnesota

Provider Information

NPI Number: 1316471386
Entity Type: Individual
Name: DR. Ethan Terry Kraft, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Otolaryngology
Credential: M.D.
Enumeration Date: Apr 17, 2017
Last Updated: Nov 14, 2022

Practice Location

Address: 13359 ISLE DR
Address 2: STE 1
City: Baxter
State: Minnesota
ZIP Code: 56425-2223
Phone: (218) 454-3077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Otolaryngology	207Y00000X	Primary

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