Individual
DR. EMILY LOUISE EXTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6408 COPPS AVE, MONONA, WI 53716-3702
(608) 417-3000
Mailing address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(608) 417-6000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.129789
OH
207X00000X
Orthopaedic Surgery Physician
Primary
52635
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205051141
—
WI
Enumeration date
04/16/2007
Last updated
01/25/2022
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