Individual
DR. CHAD MICHAEL ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 S PARK ST FL 6, MADISON, WI 53715-1375
(608) 287-2500
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
66028-20
WI
Other
Enumeration date
04/08/2015
Last updated
02/05/2021
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