DR. Michael Lee Ettner, MD

NPI #1629061940 in Saint Maries, Idaho

Provider Information

NPI Number: 1629061940
Entity Type: Individual
Name: DR. Michael Lee Ettner, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Aug 23, 2005
Last Updated: Nov 15, 2023

Practice Location

Address: 229 S 7TH ST
City: Saint Maries
State: Idaho
ZIP Code: 83861-1803
Phone: (208) 245-5551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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