Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ezana M Azene, MD, PHD

Individual provider Vascular & Interventional Radiology Physician · NPI 1073715975

Dr. Ezana M Azene, MD, PHD is a Diagnostic Radiology in LA Crosse, Wisconsin. Graduated from Johns Hopkins University School of Medicine in 2007, 19 years ago. Practices with Gundersen Lutheran Medical Center Inc, a 896-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa, Minnesota and Wisconsin.

Years since qualifying
19
Trained at
Johns Hopkins University School of Medicine
Licensed in
IA, MN, WI
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1836 S Ave
LA Crosse, WI 54601-5429
Phone: (608) 782-7300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 60390 (WI)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 41211 (IA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 56800 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073715975
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedJune 3, 2007
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Gundersen Lutheran Medical Center Inc — 896 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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