Individual
ETHAN KASE MANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1161 21ST AVE S, NASHVILLE, TN 37232-0011
(615) 875-5568
(615) 343-4466
Mailing address
1161 21ST AVE S, NASHVILLE, TN 37232-0011
(615) 875-5568
(615) 343-4466
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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