WANDA J ETHEN

PLYMOUTH, MN
NPI1154365393
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  116865)
Enumeration Date2006-06-16
Last Update Date2016-06-30
Business Address
-- WANDA J ETHEN MD
4155 COUNTY ROAD 101 N
PLYMOUTH, MN 55446-2307
Phone number: 952-993-8900
Mailing Address
-- WANDA J ETHEN MD
8170 33RD AVE S PO BOX 1309 MAIL STOP 21110Q
MINNEAPOLIS, MN 55425-4516
Phone number:
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