Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DCO258600 | CA |
NPI | 1346410982 |
---|---|
Provider Name | Dr. John Erdmann |
First Address | Pleasant Hill, CA 94523-4647 |
Second Address | Pleasant Hill, CA 94523-4647 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2008 |
Last Update Date | 07/10/2010 |