NPI | 1780884726 |
---|---|
Former Legal Business Name | BARRY E. ERDMAN, D.P.M. S.C. |
Entity Type | Organization |
Authorized Contact | BARRY E ERDMAN President/CEO 920-882-9990 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: WI 616-025) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: WI 847-025) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2011-12-29 |