Individual
ERIC P CONRADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1185 CORPORATE CENTER DR, SUITE 175, OCONOMOWOC, WI 53066-4887
(262) 928-8400
(262) 928-8484
Mailing address
1185 CORPORATE CENTER DR, SUITE175, OCONOMOWOC, WI 53066-4887
(262) 928-8400
(262) 928-8484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20977
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30274200
—
WI
Enumeration date
08/05/2006
Last updated
03/07/2014
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