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Individual

JEAN E ERDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
410 DEWEY ST, WISCONSIN RAPIDS, WI 54494-4715
(715) 423-6060
(715) 422-7764
Mailing address
410 DEWEY ST, PO BOX 8080, WISCONSIN RAPIDS, WI 54494-4715
(715) 423-6060
(715) 422-7764

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4519-33
WI

Other

Enumeration date
08/22/2011
Last updated
08/22/2011
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