Individual
DR. DUANE HENRY ERSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
CARRERA 13, NO. 85-39, SUITE 608, BOGOTA, DC 00000
(414) 550-4515
Mailing address
1233 19TH AVE NE, ROCHESTER, MN 55906-4317
(414) 550-4515
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2094
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42149800
—
WI
Enumeration date
04/23/2007
Last updated
03/27/2014
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