PAUL S ETZELL MD NPI 1063422343

NPI Information

NPI: 1063422343
Provider Name: PAUL S ETZELL, MD
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Address:
712 SOUTH CASCADE STREET
FERGUS FALLS, MN
ZIP 56537
Phone: (218) 736-8000
Get Directions

Paul S Etzell, MD is a hematology and oncology internal medicine in Fergus Falls, MN. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Paul S Etzell, MD NPI is 1063422343. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

712 SOUTH CASCADE STREET
FERGUS FALLS, MN
ZIP 56537-813
Phone: (218) 736-8000
Fax: (218) 736-8757

The enumeration date for this NPI number is 8/9/2006 and was last updated on 7/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	17327	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	129768600	MEDICAID	MINNESOTA
2	11Q47ET	OTHER	MINNESOTA	BCBS NUMBER
3	HP10403	OTHER	MINNESOTA	HEALTHPARTNERS NUMBER
4	D28584	MEDICARE UPIN	MINNESOTA
5	12234	MEDICAID	NORTH DAKOTA
6	830000338	MEDICARE PIN	MINNESOTA
7	41-0917444	OTHER	MINNESOTA	ONE HEALTH PLAN
8	D28584	MEDICARE UPIN
9	0896037	OTHER	MINNESOTA	PREFERRED ONE NUMBER
10	36-00025	OTHER	MINNESOTA	MEDICA NUMBER
11	41091744413	MEDICAID	NEBRASKA
12	123436	OTHER	MINNESOTA	U-CARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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