National Provider Identifier
Christine Marie Etzel, MD
Christine Marie Etzel, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 898-3000.
Profile Overview
- NPI
- 1902609548
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 29, 2025
- Last Updated
- March 29, 2025
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3098
Phone: (716) 898-3000
Mailing Address
- 10 Aspen Dr
- Madison, CT 06443-1662
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1902609548
- Entity Type
- Individual
- Last Name
- Etzel
- First Name
- Christine
- Middle Name
- Marie
- Credential
- MD
- Mailing Street Address
- 10 Aspen Dr
- Mailing City
- Madison
- Mailing State
- CT
- Mailing ZIP Code
- 06443-1662
- Mailing Country
- US
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3098
- Practice Country
- US
- Practice Phone
- (716) 898-3000
- Enumeration Date
- March 29, 2025
- Last Updated
- March 29, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 29, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)