Individual
TODD D EARNHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7861 EVERGREEN ST, HEWITT, WI 54441-8511
(715) 384-2138
Mailing address
7861 EVERGREEN ST, HEWITT, WI 54441-8511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29621
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31432500
—
WI
Enumeration date
08/30/2006
Last updated
03/26/2014
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