Search › North Dakota › 1223S0112X
Etern Park, DDS, MD
NPI 1124289905 · on the registry since 2008
Practice
- Address
- 1717 University Dr S
Fargo, ND 58103 - Phone
- (701) 234-2000
- Organisation at this address
- Sanford Medical Center Fargo
Sanford Medical Center FargoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223S0112X
1223S0112X
1223S0112X
204E00000X
204E00000X - Licence states on file
- ND, DE, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-11
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 North Dakota