Individual
ERIC G TEGGATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 258-5222
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 258-5222
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
56437
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023251709
—
WI
Enumeration date
04/11/2009
Last updated
12/13/2020
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