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

Ethan Prince

Individual provider Diagnostic Radiology Physician · NPI 1306064563

Ethan Prince is a Diagnostic Radiology Physician in Edina, Minnesota. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone: (952) 595-1100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 12864 (RI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD12864 (RI)

Record details

NPI number1306064563
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026
Mailing address3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

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