Organization
MADISON VEIN AND LASER INSTITIUTE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOYD ERIC ERDMAN M.D. (PRESIDENT)
(608) 831-7003
Entity
Organization
Contact information
Practice address
2275 DEMING WAY, SUITE 280, MIDDLETON, WI 53562-5527
(608) 831-7003
(608) 831-7044
Mailing address
2275 DEMING WAY, SUITE 280, MIDDLETON, WI 53562-5527
(608) 831-7003
(608) 831-7044
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
40938-020
WI
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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