Michael Lee Ettner in Saint Maries - Emergency Medicine
Michael Lee Ettner - NPI 1629061940
Michael Lee Ettner is a Emergency Medicine in Saint Maries, Idaho. Michael Lee Ettner practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Michael Lee Ettner is 1629061940. The last update date is 2023-11-15.
Michael Lee Ettner's current location address is 229 S 7th St, Saint Maries, Idaho. You can contact this provider via phone number 2082455551 and fax number 2082455246. The mailing address for Michael Lee Ettner is 229 S 7th St, Saint Maries, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Lee Ettner |
|---|---|
| Address | 229 S 7th St, Saint Maries, Idaho |
| Phone Number | 2082455551 |
| Fax Number | 2082455246 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629061940 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2023-11-15 |
Provider Mailing Address Detail
| Address | 229 S 7th St |
|---|---|
| City | Saint Maries |
| State | Idaho (ID) |
| Post Code | 838611803 |
| Phone Number | 2082455551 |
| Fax Number | 2082455246 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | M-6577 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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What is the unique identifier code issued to Michael Lee Ettner by the Centers for Medicare & Medicaid Services (CMS)?
The Michael Lee Ettner has been assigned the NPI (National Provider Identifier) 1629061940. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Michael Lee Ettner located?
The Michael Lee Ettner is located at 229 S 7Th St, Saint Maries, ID 838611803.
What is Michael Lee Ettner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael Lee Ettner is Emergency Medicine, and the taxonomy code that classifies this field of practice is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629061940 to Michael Lee Ettner?
The Michael Lee Ettner received its 1629061940 assignment from the Centers for Medicare & Medicaid Services on 2005-08-23.
As of what date was the information regarding Michael Lee Ettner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael Lee Ettner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-11-15.