Individual
DANIEL KEVIN ETTLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10950 CHAPEL HILL RD, MORRISVILLE, NC 27560-8852
(919) 425-3185
Mailing address
600 SAINT MARYS ST APT 340, RALEIGH, NC 27605-1793
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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