Provider Demographics
NPI:1164161824
Name:EKSTRAND, ETHAN EDWARD (DO)
Entity type:Individual
Prefix:DR
First Name:ETHAN
Middle Name:EDWARD
Last Name:EKSTRAND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:930 SHERIDEN DR
Mailing Address - Street 2:
Mailing Address - City:CAREY
Mailing Address - State:OH
Mailing Address - Zip Code:43316-1501
Mailing Address - Country:US
Mailing Address - Phone:419-396-7683
Mailing Address - Fax:419-396-3312
Practice Address - Street 1:930 SHERIDEN DR
Practice Address - Street 2:
Practice Address - City:CAREY
Practice Address - State:OH
Practice Address - Zip Code:43316-1501
Practice Address - Country:US
Practice Address - Phone:419-396-7683
Practice Address - Fax:419-396-3312
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34.018054207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine