Individual
DR. MARK GONZALEZ ETTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVENUE, UNIVERSITY OF ROCHESTER MEDICAL CENTER,, ROCHESTER, NY 14642-0001
(585) 275-3191
(585) 273-3637
Mailing address
601 ELMWOOD AVENUE, BOX 626, URMC, ROCHESTER, NY 14642-0001
(585) 275-3191
(585) 273-3637
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
293012
NY
207ZP0101X
Anatomic Pathology Physician
4301111405
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
293012
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2013
Last updated
06/30/2023
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