Dr Evan James Cretney, MD | |
2414 Kohler Memorial Drive, Sheboygan, WI 53081 | |
(920) 457-4461 | |
Not Available |
Full Name | Dr Evan James Cretney |
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Gender | Male |
Speciality | Otolaryngology |
Location | 2414 Kohler Memorial Drive, Sheboygan, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1528563442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | MT216241 (Pennsylvania) | Secondary |
207Y00000X | Otolaryngology | 81319 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
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Dr Evan James Cretney, MD 2414 Kohler Memorial Drive, Sheboygan, WI 53081 Ph: (920) 400-9665 | Dr Evan James Cretney, MD 2414 Kohler Memorial Drive, Sheboygan, WI 53081 Ph: (920) 457-4461 |
Dr. John Revelis, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1152 | |
P Perry Phillips, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5000 | |
Dr. Edward Lawrence Smith, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1411 N Taylor Dr, Sheboygan, WI 53081 Phone: 616-735-3257 |