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JOHN WILLIAM ETZLER PA-C
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1790383768
Individual Registrant: JOHN WILLIAM ETZLER PA-C
Gender: M
Not Sole Proprietor
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: --
Tel: 707-963-3611 Fax: --
Contact information for business:
271 MCCOMB ST SARANAC LAKE, NY 12983-1653 US
Tel: 802-779-2600 Fax: --
Tel: 802-779-2600 Fax: --
Registration Information:
NPI: 1790383768
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
