Individual provider · Type 1 NPI

Ethan Benjamin Koch, MD

Pain Medicine Physician · St. Cloud, MN

NPI number 1023514007 Active

Practice location

4801 Veterans Dr
St. Cloud, MN 56303-2015

Call (320) 252-1670 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician 208100000X71757 (MN)
General Practice Physician 208D00000X71757 (MN)
Pain Medicine Physician Primary 208VP0000X71757 (MN)

Pain Medicine Physician: Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contri…

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About NPI 1023514007

Ethan Benjamin Koch, MD's National Provider Identifier is 1023514007, issued on Mar 30, 2018. The primary taxonomy on file is Pain Medicine Physician (208VP0000X), and the practice location is in St. Cloud, MN. The record was last updated on Apr 3, 2025.