Individual
ERIC MICHAEL NESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1040 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-5000
(608) 847-9875
Mailing address
1040 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-5000
(608) 847-9875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39079
IA
207Q00000X
Family Medicine Physician
Primary
59997-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396971115
—
WI
Enumeration date
06/08/2009
Last updated
02/18/2013
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