DR. Sandra Lynn Ettema, M.D., PH.D.

NPI #1760577902 in Mattoon, Illinois

Provider Information

NPI Number: 1760577902
Entity Type: Individual
Name: DR. Sandra Lynn Ettema, M.D., PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: M.D., PH.D.
Enumeration Date: Oct 4, 2006
Last Updated: Nov 8, 2024

Practice Location

Address: 1005 HEALTH CENTER DR STE 201
City: Mattoon
State: Illinois
ZIP Code: 61938-4653
Phone: (217) 258-2409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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