Individual provider · Type 1 NPI

Ethel Susan Herskovic, DO

Diagnostic Radiology Physician · Edina, MN

NPI number 1104130269 Active

Practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Call (952) 595-1100 Map

Fax (612) 294-4903

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X125053522 (IL)
Diagnostic Radiology Physician Primary 2085R0202XOS18042 (FL)
Diagnostic Radiology Physician 2085R0202XOS021672 (PA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1104130269

Ethel Susan Herskovic, DO's National Provider Identifier is 1104130269, issued on Aug 1, 2010. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Edina, MN. The record was last updated on Jul 1, 2026.