DR. KENNETH E. ETTERMAN (M.D.) – Family Medicine Physician, NPI 1164425781

DR. KENNETH E. ETTERMAN (M.D.) is a healthcare provider. based in Moose lake, Minnesota. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 23035 (MN). The NPI Number for DR. KENNETH E. ETTERMAN (M.D.) is 1164425781

Main info

Male
Name
DR. KENNETH E. ETTERMAN (M.D.)
NPI
1164425781
Phone
(218) 485-4491
Address
4570 CTY. HWY. 61
Enumeration Date
27 May 2005
Last Update Date
4 December 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KENNETH E. ETTERMAN (M.D.)

  • 4570 CTY. HWY. 61

    MOOSE LAKE, MN 55767

    Phone: (218) 485-4491

    Fax: (218) 485-4724

    Type: Mailing

  • Main Street East, Evergreen Park, Hinckley, Pine County, Minnesota, 55037, United States

    HINCKLEY, MN 55037

    Phone: (320) 384-6618

    Fax: (320) 384-6635

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55767)

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Reviews

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Frequently asked questions

What federal number belongs to DR. KENNETH E. ETTERMAN (M.D.)?
The federal identifier for DR. KENNETH E. ETTERMAN (M.D.) is NPI 1164425781.
Is DR. KENNETH E. ETTERMAN (M.D.) active in the national directory?
DR. KENNETH E. ETTERMAN (M.D.)'s public NPI profile is in an active state.
Does DR. KENNETH E. ETTERMAN (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. KENNETH E. ETTERMAN (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. KENNETH E. ETTERMAN (M.D.) practice in Minnesota?
You will see Moose Lake, Minnesota on file for DR. KENNETH E. ETTERMAN (M.D.) alongside any extra practice locations.
What if Moose Lake, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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