Organization
ENT ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN E DURKIN M.D. (PRESIDENT)
(414) 271-4141
Entity
Organization
Contact information
Practice address
2315 N LAKE DR STE 1005, MILWAUKEE, WI 53211-4516
(414) 271-4141
(414) 271-4343
Mailing address
2315 N LAKE DR STE 1005, MILWAUKEE, WI 53211-4516
(414) 271-4141
(414) 271-4343
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
24504
WI
207Y00000X
Otolaryngology Physician
34875
WI
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
40673
WI
Other
Enumeration date
04/14/2007
Last updated
09/11/2025
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