Individual
DR. ETHAN ERROL EMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-7451
(920) 433-7453
Mailing address
8902 SONATA CT, GARDEN RIDGE, TX 78266-2151
(210) 508-5218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M7165
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
4154-320
WI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
M7165
TX
Other
Enumeration date
12/02/2005
Last updated
03/20/2024
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