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Individual

CHAD ERMIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-8027
Mailing address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-4200

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5101018203
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
67828
WI
208VP0014X
Interventional Pain Medicine Physician
036.134891
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100070837
WI
05
1588894018
MI
Enumeration date
07/17/2009
Last updated
12/14/2021
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