Individual
ETHAN LESTER CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
(507) 284-0702
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36376
MN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
36376
MN
Other
Enumeration date
05/04/2026
Last updated
05/14/2026
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