Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ethan Lee Skog, DC

Individual provider Chiropractor · NPI 1811486459

Dr. Ethan Lee Skog, DC is a Chiropractor in New Hope, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

4900 Highway 169 N Ste 301
New Hope, MN 55428-4019
Phone: (763) 496-7871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 6473 (MN)

Record details

NPI number1811486459
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedMay 9, 2018
Last updated in NPPESJanuary 20, 2020
Certification dateJanuary 20, 2020
Mailing address4900 Highway 169 N Ste 301, New Hope, MN 55428-4019

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