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DR. JAMES EDWARD ETHINGTON MD

Physicians Dermatology

Provider NPI: 1770546053

Provider Information:
DR. JAMES EDWARD ETHINGTON MD
Gender: M
Not Sole Proprietor

Practice Location:
2923 W LAYTON AVE  GREENFIELD, WI 53221-2626 US
Tel: 414-281-0712  Fax: 414-281-3466

Business Mailing Address:
2923 W LAYTON AVE  GREENFIELD, WI 53221-2626 US
Tel: 414-281-0712  Fax: 414-281-3466

NPI Information:
NPI: 1770546053
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207N00000XPhysicians
Dermatology
WI22197-020
N207ND0101XPhysicians
Dermatology
WI22197-020
N207ND0900XPhysicians
Dermatology
WI22197-020
N207NI0002XPhysicians
Dermatology
WI22197-020
N207NP0225XPhysicians
Dermatology
WI22197-020
N207NS0135XPhysicians
Dermatology
WI22197-020

Other Provider Identifiers:

IssuerNumberStateType
30257400WI05



American Medical Association 2012 taxonomy code information

Code: 207N00000X

Type:

Classification:



Definition:



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