Individual
DR. ETHEL SUSAN HERSKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1100
(612) 294-4903
Mailing address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1100
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
125053522
IL
2085R0202X
Diagnostic Radiology Physician
OS021672
PA
2085R0202X
Diagnostic Radiology Physician
Primary
OS18042
FL
Other
Enumeration date
08/01/2010
Last updated
07/01/2026
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