Male or Other

Paul S. Etzell MD

Hematology & Oncology Physician in Fergus Falls, MN(View on Map)

Full Name

Paul S Etzell MD

NPI Number

1063422343

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/09/2006

Specialties

(Taxonomies)

Code

207RH0003X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

17327

Contact
Information

Purpose

Mailing
Location

Address

712 SOUTH CASCADE STREET
712 SOUTH CASCADE STREET

City

Fergus Falls
Fergus Falls

State

MN
MN

Postal Code

56537-2813
56537-2813

Country

US
US

Telephone Number

(218) 736-8000
(218) 736-8000

Identifiers

Identifier

41091744413
12234
36-00025
HP10403
41-0917444
0896037
123436
129768600
11Q47ET

Identifier State

NE
ND
MN
MN
MN
MN
MN
MN
MN

Identifier Issuer

Unknown
Unknown
MEDICA NUMBER
HEALTHPARTNERS NUMBER
ONE HEALTH PLAN
PREFERRED ONE NUMBER
U-CARE NUMBER
Unknown
BCBS NUMBER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2010

Provider Address

Other Hematology & Oncology Physician in Fergus Falls, Minnesota:

Male or Other

Anthony Rooney

Fergus Falls, MN

Specialty: Hematology & Oncology Physician (Primary)