Individual
RICHARD L ERDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 S WEBSTER AVE, GREEN BAY, WI 54301-3500
(920) 433-3456
Mailing address
508 RANDALL AVE, DE PERE, WI 54115-2638
(920) 246-0172
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
24509-020
WI
207R00000X
Internal Medicine Physician
Primary
24509
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104462228
—
MI
05
—
30717200
—
WI
01
—
930121595
MEDICARE RAILROAD
WI
Enumeration date
05/16/2006
Last updated
10/13/2022
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