Individual
DR. JENNIFER ERICKSON-FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
720 S VANBUREN ST, SUITE 201, GREEN BAY, WI 54301-3534
(920) 433-7488
Mailing address
720 S VANBUREN ST, SUITE 201, GREEN BAY, WI 54301-3534
(920) 433-7488
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
53884-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01241795
RAILROAD MEDICARE
WI
Enumeration date
05/16/2008
Last updated
08/19/2015
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