Individual
DR. MARK DOUGLAS ETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
217 HARRISBURG AVE, THE HEART GROUP OF LGHEALTH, LANCASTER, PA 17603-2964
(717) 544-8300
(717) 544-8265
Mailing address
217 HARRISBURG AVE, THE HEART GROUP OF LGHEALTH, LANCASTER, PA 17603-2964
(717) 544-8300
(717) 544-8265
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
MD070762L
PA
207RC0000X
Cardiovascular Disease Physician
MD070762L
PA
207UN0901X
Nuclear Cardiology Physician
MD070762L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018303300005
—
PA
Enumeration date
03/07/2006
Last updated
05/17/2017
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