Healthcare Provider Details

I. General information

NPI: 1164080149
Provider Name (Legal Business Name): ERIN EMILY DROY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN BRAUN

II. Dates (important events)

Enumeration Date: 06/04/2019
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 FOREST LN
WATERFORD WI
53185-4585
US

IV. Provider business mailing address

PO BOX 735044
CHICAGO IL
60673-5044
US

V. Phone/Fax

Practice location:
  • Phone: 262-514-3700
  • Fax: 262-514-3867
Mailing address:
  • Phone: 800-326-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number4351044825
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number60561
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number87857
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: