Individual
DR. ERIC G VERWIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 434-1000
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
23998
NE
207X00000X
Orthopaedic Surgery Physician
Primary
81196
WI
207XX0801X
Orthopaedic Trauma Physician
12187
SD
207XX0801X
Orthopaedic Trauma Physician
N6752
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100228379
—
WI
Enumeration date
01/19/2007
Last updated
07/25/2023
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