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

Wanda J Ethen, MD

Individual provider Internal Medicine Physician · NPI 1154365393

Wanda J Ethen, MD is an Internal Medicine in Plymouth, Minnesota. Graduated from University of North Dakota School of Medicine in 1995, 31 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
31
Trained at
University of North Dakota School of Medicine
Licensed in
MO
In the registry since
2006
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

4155 County Road 101 N
Plymouth, MN 55446-2307
Phone: (952) 993-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 116865 (MO)

Record details

NPI number1154365393
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 16, 2006
Last updated in NPPESJune 30, 2016
Mailing address8170 33rd Ave S, Po Box 1309 Mail Stop 21110q, Minneapolis, MN 55425-4516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPICE/PALLIATIVE CARE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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