Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN ERROL EMMONS, MD
Active Sole ProprietorDR. ETHAN ERROL EMMONS, MD is a Sports Medicine (IM) healthcare provider located in GREEN BAY, Wisconsin. NPI 1265416325 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · GREEN BAY, WI
Registration Details
- NPI Number
- 1265416325
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2005 (20.511281748745 yrs)
- Last Updated
- Mar 20, 2024
- Licenses
-
M7165 (TX)M7165 (TX)4154-320 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
744 S WEBSTER AVEGREEN BAY, WI, 543013505Browse WI providers · Browse ZIP 54301
- Phone
- 9204337451
- Fax
- 9204337453
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
- Additional Specialty
- Sports Medicine (IM)
Other Sports Medicine (IM) Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES P GAPINSKI | MD | 1922114768 |
| DR. DEANE FRANSO | M.D. | 1407122906 |
| AMIT GUPTA | M.D. | 1679991277 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.