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Search › Minnesota › 208VP0000X

Ethan Koch, MD

NPI 1023514007 · on the registry since 2018

Practice

Address
4801 Veterans Dr
Saint Cloud, MN 56303
Phone
(320) 252-1670
Organisation at this address
St. Cloud Vamc
St. Cloud Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
973

Registry record

Primary taxonomy
208VP0000X
208VP0000X
Also registered as
208100000X
208D00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota