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

Dr. Ethan Tanner O'Connell, MD

Individual provider Family Medicine Physician · NPI 1306097928

Dr. Ethan Tanner O'Connell, MD is a Family Medicine Physician in Bemidji, Minnesota. Licensed in Michigan, Minnesota and Wyoming. Registered with an NPI since 2008.

Licensed in
MI, MN, WY
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1233 34th St NW
Bemidji, MN 56601-5112
Phone: (218) 333-5596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 106348 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence TL1362 (WY)
Surgery Physician Taxonomy 208600000X · Licence 4301092736 (MI)

Record details

NPI number1306097928
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 1, 2008
Last updated in NPPESSeptember 27, 2012
Mailing address1233 34th St Nw, Bemidji, MN 56601-5112

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