Individual
ERIC T PHILLIPPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6649 ODANA RD, MADISON, WI 53719-1011
(608) 251-6060
(608) 251-3930
Mailing address
6649 ODANA RD, MADISON, WI 53719-1011
(608) 251-6060
(608) 251-3930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64962-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100047737
—
WI
Enumeration date
04/28/2014
Last updated
08/21/2025
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