Individual
DAVID F. ERDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
205 W GREEN BAY ST, SHAWANO, WI 54166-2333
(715) 526-5433
(715) 526-6930
Mailing address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
(920) 257-2000
(920) 257-2004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3059-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118212
SECURITY HEALTH PLAN
WI
01
—
118214
SECURITY HEALTH PLAN
WI
05
—
40399800
—
WI
01
—
625A0ER
BCBS OF MN
MN
01
—
625A1ER
BCBS OF MN
MN
01
—
64-07741
MEDICA
WI
01
—
64-07742
MEDICA
WV
01
—
64-07743
MEDICA
WI
Enumeration date
08/23/2006
Last updated
07/13/2007
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