Individual
CARL F. ERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13620 W. CAPITOL DR., BROOKFIELD, WI 53005
(262) 781-5667
Mailing address
N90 W28159 LOOKOUT CT., HARTLAND, WI 53029
(262) 781-5667
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3610
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942215512
NPI FOR CORPORATION
WI
Enumeration date
10/05/2006
Last updated
07/08/2007
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