Search › Wisconsin › 2085R0204X
Ezana Azene, MD, PHD
NPI 1073715975 · on the registry since 2007
Practice
- Address
- 1836 South Ave
La Crosse, WI 54601 - Phone
- (608) 782-7300
- Organisation at this address
- Gundersen Clinic Ltd
Gundersen Clinic Ltd
Gundersen Clinic Ltd
Gundersen Clinic Ltd
Gundersen Lutheran Admin SvcsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,548
Registry record
- Primary taxonomy
- 2085R0204X
2085R0204X
- Also registered as
- 2085R0204X
2085R0204X
390200000X - Licence states on file
- WI, IA, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin