Individual
ERIC JOHN DARRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3357 N 90TH ST, MILWAUKEE, WI 53222-3615
(563) 599-7902
Mailing address
3357 N 90TH ST, MILWAUKEE, WI 53222-3615
(563) 599-7902
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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