Individual
BARRY ELLIS ERDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2005 S LAKE PARK RD, APPLETON, WI 54915-4155
(920) 882-9990
(920) 882-9544
Mailing address
2005 S LAKE PARK RD, APPLETON, WI 54915
(920) 882-9990
(920) 882-9544
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
616025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010556903-011
ANTHEM BLUE CROSS BLUE S
WI
05
—
43206700
—
WI
Enumeration date
01/20/2006
Last updated
01/30/2008
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