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Individual

JAMES S ERWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20234
WI
2085R0202X
Diagnostic Radiology Physician
21409
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30639100
MA
WI
05
659875700
MN
01
7T656ER
BCBS
MN
Enumeration date
09/25/2006
Last updated
01/09/2009
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