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ETHAN THOMAS NETHERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 N 8TH ST FL 3, SPRINGFIELD, IL 62701-1041
(217) 545-3262
(217) 545-7305
Mailing address
PO BOX 19700, SPRINGFIELD, IL 62794-9700
(217) 545-3262
(217) 545-7305

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
125086230
IL

Other

Enumeration date
06/09/2025
Last updated
06/09/2025
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