Individual
DR. ERIN A KEDROWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.- CCCA
Contact information
Practice address
4303 MICHIGAN AVE, MANITOWOC, WI 54220-3066
(920) 320-4380
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
(920) 320-2591
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
429
WI
237600000X
Audiologist-Hearing Aid Fitter
429
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336134329
BCBS
WI
05
—
231H00000X
—
WI
01
—
P00917288
RR MEDICARE
WI
Enumeration date
09/15/2005
Last updated
12/21/2021
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