Individual
ERIC LEE DUNSMOOR
Active
Individual
ERIC LEE DUNSMOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
142395
WI
363LF0000X
Family Nurse Practitioner
R153869-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218272600
—
MN
05
—
36007500
—
WI
Enumeration date
09/09/2005
Last updated
02/15/2011
Update your record
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