Dr CLARK E ETTEN is a male medical professional, specializing in Physician Assistant. He graduated in 2017.
EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION
1159 COUNTY RD E E
VADNAIS HEIGHTS
MN
551105183
Tel: 6517896500
| Npi | 1265940795 |
| Pac Id | 7113289430 |
| Professional Enrollment Id | I20180327001500 |
| Last Name | ETTEN |
| First Name | CLARK |
| Middle Name | E |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION |
| Group Practice Pac Id | 9537072657 |
| Number Of Group Practice Members | 81 |
| Line 1 Street Address | 1159 COUNTY RD E E |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | VADNAIS HEIGHTS |
| State | MN |
| Zip Code | 551105183 |
| Phone Number | 6517896500 |
| Hospital Affiliation Ccn 1 | 240207 |
| Hospital Affiliation Lbn 1 | FAIRVIEW RIDGES HOSPITAL |
| Hospital Affiliation Ccn 2 | 240078 |
| Hospital Affiliation Lbn 2 | FAIRVIEW SOUTHDALE HOSPITAL |
| Hospital Affiliation Ccn 3 | 240057 |
| Hospital Affiliation Lbn 3 | ABBOTT NORTHWESTERN HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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