Individual
DR. ETHAN WILKES STRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6027 WALNUT GROVE RD STE 319, MEMPHIS, TN 38120-2128
(901) 226-3882
(901) 226-3883
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
57907
TN
2086S0127X
Trauma Surgery Physician
064352
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2013
Last updated
08/08/2019
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