Individual
MR. ERICK JON SEIDL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S., PTA
Contact information
Practice address
200 N 7TH AVE, STURGEON BAY, WI 54235-1708
(192) 074-3627
Mailing address
235 LYNCH AVE, DENMARK, WI 54208-9189
(920) 784-1688
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4105-19
WI
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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