MR. Ethan Edward Smith, PA-C

NPI #1073215984 in Spooner, Wisconsin

Provider Information

NPI Number: 1073215984
Entity Type: Individual
Name: MR. Ethan Edward Smith, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 22, 2023
Last Updated: Sep 11, 2024

Practice Location

Address: 1180 CHANDLER DR
City: Spooner
State: Wisconsin
ZIP Code: 54801-2204
Phone: (715) 635-2151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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