Search › Wisconsin › 101YA0400X
Tristan Ertman, SAC-IT
NPI 1780262840 · on the registry since 2021 · sole proprietor
Practice
- Address
- 530 State Road 67
Kiel, WI 53042 - Phone
- (920) 894-1374
- Fax
- (920) 894-1373
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin