Provider Demographics
NPI:1790740223
Name:HUEBSCHMAN, ERIN L (MD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:HUEBSCHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 S MONROE ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:WI
Mailing Address - Zip Code:53813-2054
Mailing Address - Country:US
Mailing Address - Phone:608-723-2131
Mailing Address - Fax:608-723-2707
Practice Address - Street 1:507 S MONROE ST STE 1
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:WI
Practice Address - Zip Code:53813-2054
Practice Address - Country:US
Practice Address - Phone:608-723-2131
Practice Address - Fax:608-723-2707
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI45951-020207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34428900Medicaid
WI34428900Medicaid
WI60209OtherDEAN HEALTH INSURANCE
WI60209OtherDEAN HEALTH INSURANCE
WI34428900Medicaid
WI007157155Medicare PIN