Individual
ETHAN A KAROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2845 GREENBRIER RD STE 240, GREEN BAY, WI 54311-6519
(920) 288-8280
(920) 288-8285
Mailing address
164 N BROADWAY, GREEN BAY, WI 54303-2728
(920) 405-5384
(920) 405-8005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2831
WI
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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