Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | IL | |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 42836 | WI |
NPI | 1003999236 |
---|---|
Provider Name | Dr. Harlan D Edelman |
First Address | Janesville, WI 53546-1626 |
Second Address | Janesville, WI 53546-1626 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
34032800 | (05) | IL |
E24347 | (02) |