Individual
DR. EZANA M AZENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
41211
IA
2085R0204X
Vascular & Interventional Radiology Physician
56800
MN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
60390
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2007
Last updated
11/17/2023
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