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NPI Code Detail

MEDICARE: DR. BRIAN J ERDMANN MD

MEDICARE:  DR. BRIAN J ERDMANN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician39040WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
164730OTHERWISECURITY HEALTH PLAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679689582
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN J ERDMANN MD
Provider Business Mailing Address
First Line : 580 SHEPARD ST
Second Line :
City : RHINELANDER
State : WI
Zip : 54501-3552
Country : US
Telephone Number : 715-420-1831
Fax Number : 715-420-1829
Provider Business Practice Location Address
First Line : 580 SHEPARD ST
Second Line :
City : RHINELANDER
State : WI
Zip : 54501-3552
Country : US
Telephone Number : 715-420-1831
Fax Number : 715-420-1829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 08/01/2017

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Directions to “ DR. BRIAN J ERDMANN MD” Practice Location

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