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1114504206
ETHAN MORGAN
MILWAUKEE, WI
NPI
1114504206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 81481-21)
Enumeration Date
2021-03-25
Last Update Date
2024-09-10
Business Address
ETHAN MORGAN DO
945 N 12TH ST
MILWAUKEE, WI 53233-1305
Phone number: 414-219-7136
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Mailing Address
ETHAN MORGAN DO
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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