Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 036-139509 | IL |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 72150-020 | WI |
NPI | 1093859548 |
---|---|
Provider Name | Eric J. Belin |
First Address | Milwaukee, WI 53215-2843 |
Second Address | Grafton, WI 53024-9201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2007 |
Last Update Date | 22/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100094710 | (05) | WI |