Individual
SUSAN WESTFALL ERDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1751 E BRISTOL ST, ELKHART, IN 46514-3968
(574) 264-5001
Mailing address
1751 E BRISTOL ST, ELKHART, IN 46514-3968
(574) 264-5001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001767A&B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22000000198935
BLUE CROSS/BLUE SHIELD
IN
Enumeration date
02/08/2007
Last updated
02/22/2008
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