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Individual

ERIK T BRANSTETTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
143 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-2121
(715) 748-7590
Mailing address
143 SOUTH GIBSON STREET, MEDFORD, WI 54451-1622
(715) 748-2121

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
44580
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43499400
WI
Enumeration date
08/10/2006
Last updated
08/06/2020
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