| Dr Evan James Cretney, MD | |
|
2414 Kohler Memorial Drive, Sheboygan, WI 53081 | |
| (920) 457-4461 | |
| Not Available |
| Full Name | Dr Evan James Cretney |
|---|---|
| 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 |
|---|---|---|---|
| 1528563442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | MT216241 (Pennsylvania) | Secondary |
| 207Y00000X | Otolaryngology | 81319 (Wisconsin) | Primary |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| 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 |
|---|---|
| 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 |