Koch, Ethan Benjamin

Koch, Ethan Benjamin is an individual health care provider with primary practice located at 4801 Veterans Dr , Saint Cloud MN 56303-2015. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Koch, Ethan Benjamin can be contacted via phone (320) 252-1670.

Contact Information

Primary practice address
4801 Veterans Dr Saint Cloud MN 56303-2015
Phone: (320) 252-1670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 71757 Minnesota
Allopathic & Osteopathic Physicians / General Practice 208D00000X 71757 Minnesota
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 71757 Minnesota

Profile Details

NPI number 1023514007
LBN Legal business name Koch, Ethan Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2018
Last updated Apr 3rd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers