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Individual

ERIC SONESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1700 W PARADISE DR, WEST BEND, WI 53095-9795
(262) 334-3451
Mailing address
1700 W PARADISE DR, WEST BEND, WI 53095-9795

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39207
WI
2086S0129X
Vascular Surgery Physician
39207
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7206
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
10/20/2006
Last updated
04/01/2013
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