MR. ETHAN SMITH, PA-C
Physician Assistant
Active
Individual
NPI: 1073215984
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 8040 (WI) |
Frequently Asked Questions
NPI 1073215984 is the National Provider Identifier for MR. ETHAN SMITH, PA-C, a Physician Assistant provider located in Spooner, WI. This NPI was enumerated on March 22, 2023.
MR. ETHAN SMITH, PA-C practices at 1180 CHANDLER DR, Spooner, WI 54801.
Quick Facts
- NPI
- 1073215984
- Type
- Individual
- Enumerated
- Mar 22, 2023
- Last Updated
- Sep 11, 2024
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