Individual
JAN EBERLY ERLANDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2630 20TH AVE, MONROE, WI 53566-3616
(608) 328-4351
Mailing address
2630 20TH AVE, MONROE, WI 53566-3616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18261
WI
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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