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Individual

WILLIAM ENNIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
914A EASTERN SHORE DR, SALISBURY, MD 21804-6410
(410) 546-1331
(410) 543-8107
Mailing address
914A EASTERN SHORE DR, SALISBURY, MD 21804-6410
(410) 546-1331
(410) 543-8107

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C05019
MD

Other

Enumeration date
04/04/2013
Last updated
05/30/2024
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