IndividualActive
Ethan Prince
NPI 1306064563 · Vascular & Interventional Radiology Physician · Edina, MN
Provider details
- NPI number
- 1306064563
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD12864 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone: (952) 595-1100
Approximate (ZIP-level) locationGet directions
Mailing address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.