Organization
LAYTON AVENUE DERMATOLOGY ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E ETHINGTON MD (PRESIDENT)
(414) 281-0712
Entity
Organization
Contact information
Practice address
2923 W LAYTON AVE, GREENFIELD, WI 53221-2626
(414) 281-0712
(414) 281-3466
Mailing address
2923 W LAYTON AVE, GREENFIELD, WI 53221-2626
(414) 281-0712
(414) 281-3466
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32838600
—
WI
Enumeration date
06/24/2006
Last updated
04/18/2011
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