Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ETHAN JACOB WAJSWOL, MD (5/18/2020)
ActiveMR. ETHAN JACOB WAJSWOL, MD (5/18/2020) is a Urology healthcare provider located in CANTON, Georgia. NPI 1366076945 is currently active in the NPPES registry. Verify at CMS.
Urology · CANTON, GA
Registration Details
- NPI Number
- 1366076945
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 24, 2020 (6.4832829633158 yrs)
- Last Updated
- Jun 26, 2025
- License
-
99892 (GA)
Practice Information
- Address
-
470 NORTHSIDE CHEROKEE BLVD STE 201CANTON, GA, 301158029Browse GA providers · Browse ZIP 30115
- Phone
- 7707207246
- Fax
- 7707204620
- Primary Specialty
-
Urology
208800000X
Other Urology Providers in CANTON, GA
| Name | Credential | NPI |
|---|---|---|
| CARL C CAPELOUTO | M.D. | 1538277710 |
| WESLEY WARREN LUDWIG | M.D. | 1447592902 |
| DR. YASIN BHANJI | MD | 1548653199 |
| MR. VINCENT DANIEL DICARLO | MD | 1407388911 |
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.