IndividualActive
Ezana Azene, MD, PHD
NPI 1073715975 · Vascular & Interventional Radiology Physician · La Crosse, WI
Provider details
- NPI number
- 1073715975
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 60390 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1836 South Ave
La Crosse, WI 54601-5429
Phone: (608) 782-7300
Approximate (ZIP-level) locationGet directions
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Registry dates
- Enumerated
- 2007-06-03
- Last updated
- 2023-11-17
- Certified
- 2023-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.