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Contact Information

KENNETH E ETTERMAN, MD
206 MAIN ST. E.
HINCKLEY, MN55037
 Phone: 320-384-6618
 Fax: 320-384-6635
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KENNETH E ETTERMAN · (Male)

NPI Number 1164425781
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2005
Last updated 12/04/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 23035
  • MN Medicaid 595790700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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