Individual
ERIC BIEDERWOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
18900 W BLUEMOUND RD, SUITE 218, BROOKFIELD, WI 53045-6092
(262) 754-2727
Mailing address
18900 W BLUEMOUND RD, SUITE 218, BROOKFIELD, WI 53045-6092
(262) 754-2727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7262-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2014
Last updated
06/12/2014
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