Individual
DR. ERIC D IWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3600 TOWER AVE, SUPERIOR, WI 54880-5589
(715) 394-5411
(715) 392-5086
Mailing address
1500 N 34TH ST STE 200, SUPERIOR, WI 54880-4477
(715) 395-5380
(715) 394-2682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6425-015
WI
1223G0001X
General Practice Dentistry
GD42
MN
Other
Enumeration date
07/15/2009
Last updated
09/24/2020
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