Individual
DR. JAMES EDWARD ETHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2923 W LAYTON AVE, GREENFIELD, WI 53221-2626
(414) 281-0712
(414) 281-3466
Mailing address
2923 W LAYTON AVE, GREENFIELD, WI 53221-2626
(414) 281-0712
(414) 281-3466
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22197-020
WI
207ND0101X
MOHS-Micrographic Surgery Physician
22197-020
WI
207ND0900X
Dermatopathology Physician
22197-020
WI
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
22197-020
WI
207NP0225X
Pediatric Dermatology Physician
22197-020
WI
207NS0135X
Procedural Dermatology Physician
22197-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30257400
—
WI
Enumeration date
04/08/2006
Last updated
04/18/2011
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