Individual
ETHAN MICHAEL TEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
222 MOULTON ST E, DECATUR, AL 35601-2314
(256) 686-4896
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(507) 456-4752
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
AL
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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