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JOHN WILLIAM ETZLER PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1790383768

Individual Registrant:
 JOHN WILLIAM ETZLER PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
10 WOODLAND RD  SAINT HELENA, CA 94574-9554 US
Tel: 707-963-3611  Fax: --

Contact information for business:
271 MCCOMB ST  SARANAC LAKE, NY 12983-1653 US
Tel: 802-779-2600  Fax: --

Registration Information:
NPI: 1790383768
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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