Individual
ERIC UTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
110 LONE OAK LN, HARTFORD, WI 53027-2600
(262) 670-1800
Mailing address
N49W25234 SEVEN STONES DR, PEWAUKEE, WI 53072-1347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70656-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2017
Last updated
06/29/2020
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