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ETHAN AXTMAN

Nurse Practitioner

NPI: 1407419419IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse Practitioner — Family

Code: 363LF0000X

A145482(IA)

Nurse Practitioner

Code: 363L00000X

2472321(MN)

CMS Specialties

Education

OTHER

Class of 2018

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Contact & Hours

Address
1300 ANNE ST NW
BEMIDJI, MN 56601

Quick Facts

NPI
1407419419
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
8

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