Dr. Ethan Foster, M.D.
in Fargo, ND. Individual provider (NPI-1).
NPI number1679693147
StatusActive
Last updated in NPPESJun 30, 2023
Details
- NPI
- 1679693147
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ethan Foster
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2007
- Certification date
- Jun 30, 2023
- Last updated
- Jun 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | 11901 | ND | Yes | |
| 2085R0001X | 6699 | KS | ||
| 207R00000X | Internal Medicine | 4301087736 | MI |
Practice location
820 4th St NFargo, ND 58102-4539
Phone 701-234-6161
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Other practice locations
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