SearchWisconsin2085R0204X

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 Svcs
Inferred 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