SearchWisconsin124Q00000X

Erin Fandre, RDH

NPI 1922571884 · on the registry since 2019 · sole proprietor

Practice

Address
111 W Jackson Street
Third Floor
Wisconsin Rapids, WI 54495
Phone
(920) 639-7384
Organisation at this address
County Of Wood
County Of Wood
County Of Wood
County Of Wood
County Of Wood
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-01-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin