Individual
DR. MICHAEL LEE ETTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1012 S 3RD ST, DAYTON, WA 99328-1696
(509) 382-8347
(509) 382-3205
Mailing address
1012 S 3RD ST, DAYTON, WA 99328-1696
(509) 382-8347
(509) 382-3205
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M-6577
ID
207P00000X
Emergency Medicine Physician
Primary
MD61241262
WA
207Q00000X
Family Medicine Physician
MD61241262
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014907
—
WA
Enumeration date
08/23/2005
Last updated
03/02/2026
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