Individual
KEVIN ERDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
25320 75TH ST, SALEM, WI 53168-9684
(262) 843-2336
Mailing address
25320 75TH ST, SALEM, WI 53168-9684
(262) 843-2336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1161-23
WI
363AM0700X
Medical Physician Assistant
1161-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32789100
—
WI
Enumeration date
07/27/2007
Last updated
04/27/2023
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