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Individual

DR. ERICH HERBST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1203 8TH ST, BARABOO, WI 53913-1805
(608) 356-2112
(608) 356-0919
Mailing address
1203 8TH ST, BARABOO, WI 53913-1805
(608) 356-2112
(608) 356-0919

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3876-015
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1008608
PHYSICIANS PLUS PROV. #
01
1901
DEANCARE PROVIDER NUMBER
05
33677900
WI
Enumeration date
01/25/2007
Last updated
07/08/2007
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