Individual
DR. ERIC G FEIEREISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
502 NELSON CT, DE FOREST, WI 53532-1267
(608) 846-3302
Mailing address
PO BOX 147, COTTAGE GROVE, WI 53527-0147
(608) 846-3302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5225
WI
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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