IndividualActive
Clarisse Ethridge, MD
NPI 1679524243 · Endocrinology, Diabetes & Metabolism Physician · Madison, WI
Provider details
- NPI number
- 1679524243
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 36964-020 (WI)
Practice location
1821 S Stoughton Rd
Madison, WI 53716-2257
Phone: (608) 260-6000
Fax: (608) 260-6595
Mailing address
1821 S Stoughton Rd
Madison, WI 53716-2257
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2022-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.