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Individual
DR. ERNEST RACKLEY IVEY
Active
Individual
DR. ERNEST RACKLEY IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
44317-020
WI
2084F0202X
Forensic Psychiatry Physician
44317-020
WI
2084P0005X
Neurodevelopmental Disabilities Physician
44317-020
WI
2084P0800X
Psychiatry Physician
44317-020
WI
2084P0804X
Child & Adolescent Psychiatry Physician
44317-020
WI
2084P0805X
Geriatric Psychiatry Physician
0101232074
VA
209800000X
Legal Medicine (M.D./D.O.) Physician
44317-020
WI
Other
Enumeration date
09/27/2005
Last updated
12/21/2022
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