NPI 1003023060

Ethan J Musgrave, MD

Practitioner Child & Adolescent Psychiatry Physician Cincinnati, OH

Practice location

Address: 3333 Burnet Ave Ml 3014, Cincinnati, OH 45229-3039
Phone: (513) 636-4788
Fax: (513) 636-4283
Mailing address: 3333 Burnet Ave Ml 5012, Cincinnati, OH 45229-3039

Registered specialties

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 35.090109 (OH)

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Registry record

NPI: 1003023060
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 May 2007
Record last updated: 28 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.