Individual
LILLIAN ERDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, DEPT OF SURGERY, IOWA CITY, IA 52242-1009
(319) 356-1727
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1727
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
106875
MN
208600000X
Surgery Physician
56862
MN
208600000X
Surgery Physician
Primary
MD41945
IA
208600000X
Surgery Physician
MT188335
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
05/09/2007
Last updated
01/06/2015
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