Healthcare Provider Details

I. General information

NPI: 1013353762
Provider Name (Legal Business Name): ERIC HILLMANN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2013
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18200 W CAPITOL DR
BROOKFIELD WI
53045-1445
US

IV. Provider business mailing address

18980 TOLDT WOODS DR UNIT 30
BROOKFIELD WI
53045-6089
US

V. Phone/Fax

Practice location:
  • Phone: 414-761-0981
  • Fax:
Mailing address:
  • Phone: 262-527-5376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number1078-25
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: