Individual
SAMANTHA R. ERIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 WATER AVE, HILLSBORO, WI 54634-9054
(608) 489-8000
Mailing address
400 WATER AVE, HILLSBORO, WI 54634-9054
(608) 489-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3151-23
WI
Other
Enumeration date
06/24/2013
Last updated
02/27/2014
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