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NPI Code Detail

MEDICARE: KIM MARIE ERDMANN MD

MEDICARE: KIM MARIE 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 Physician40118WI

General Provider Information

NPI Number : 1497800783
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM MARIE ERDMANN MD
Provider Business Mailing Address
First Line : 3 NEENAH CTR
Second Line :
City : NEENAH
State : WI
Zip : 54956-3070
Country : US
Telephone Number : 715-524-2161
Fax Number :
Provider Business Practice Location Address
First Line : 370 S MAIN ST
Second Line :
City : CLINTONVILLE
State : WI
Zip : 54929-1632
Country : US
Telephone Number : 715-524-2161
Fax Number : 715-916-3029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 01/07/2026

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