Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 56701-20 | WI |
Y | 207RH0002X | Hospice and Palliative Medicine | 56701 | WI |
NPI | 1710299037 |
---|---|
Provider Name | Dr. Eric S Marty |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53715-1375 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2010 |
Last Update Date | 04/05/2021 |