Organization
DAVID A EGGERT MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A EGGERT MD (PRESIDENT)
(920) 731-3111
Entity
Organization
Contact information
Practice address
2105 E ENTERPRISE AVE, STE 112, APPLETON, WI 54913-7862
(920) 731-3111
(920) 731-7133
Mailing address
2105 E ENTERPRISE AVE, STE 112, APPLETON, WI 54913-7862
(920) 731-3111
(920) 731-7133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24506
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30729800
—
WI
Enumeration date
07/21/2006
Last updated
08/22/2020
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