Ethan Axtman

NPI #1407419419 in Bemidji, Minnesota

Provider Information

NPI Number
1407419419
Entity Type
Individual
Name
Ethan Axtman
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Enumeration Date
Apr 16, 2019
Last Updated
May 10, 2020

Practice Location

Address
1300 ANNE ST NW
ZIP Code
56601-5103
Phone
(218) 333-5000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Nurse Practitioner

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