Individual
THOMAS B ETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 S MILLER ST, WENATCHEE, WA 98801-3201
(509) 661-3537
Mailing address
1201 S MILLER ST, WENATCHEE, WA 98801-3201
(509) 661-3537
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00020249
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639150345
—
WA
01
—
P01362318
RR MEDICARE
WA
Enumeration date
11/09/2005
Last updated
11/03/2014
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