Individual
ETHAN J MUSGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 BURNET AVE, ML 3014, CINCINNATI, OH 45229-3039
(513) 636-4788
(513) 636-4283
Mailing address
3333 BURNET AVE, ML 5012, CINCINNATI, OH 45229-3039
(513) 636-8069
(513) 636-4272
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35.090109
OH
Other
Enumeration date
05/17/2007
Last updated
04/28/2008
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