Individual
DR. EVAN JAMES CRETNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2414 KOHLER MEMORIAL DRIVE, SHEBOYGAN, WI 53081
(920) 457-4461
Mailing address
2414 KOHLER MEMORIAL DRIVE, SHEBOYGAN, WI 53081
(920) 400-9665
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
81319
WI
207Y00000X
Otolaryngology Physician
MT216241
PA
Other
Enumeration date
03/25/2018
Last updated
10/06/2023
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