Individual
DR. ERIC G RATERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
560 MILL STREET, GREEN LAKE, WI 54941-0540
(920) 294-6790
Mailing address
PO BOX 540, GREEN LAKE, WI 54941-0540
(920) 294-6790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001712-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33562300
—
WI
Enumeration date
05/17/2007
Last updated
07/08/2007
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