Individual
ERIN LAIS BIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N HAMILTON ST, APT 124, MADISON, WI 53703-5310
(214) 205-2685
Mailing address
303 N. HAMILTON ST, APT 124, MADISON, WI 53703-5304
(214) 205-2685
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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