Individual
DR. ETHAN FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 4TH ST N, FARGO, ND 58102-4539
(701) 234-6161
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301087736
MI
2085R0001X
Radiation Oncology Physician
Primary
11901
ND
2085R0001X
Radiation Oncology Physician
6699
KS
Other
Enumeration date
03/30/2007
Last updated
06/30/2023
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