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1205863123
MARK A ERICKSON
SAINT CLOUD, MN
NPI
1205863123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 47324)
Enumeration Date
2006-06-27
Last Update Date
2020-09-30
Business Address
MARK A ERICKSON DO
251 COUNTY ROAD 120
SAINT CLOUD, MN 56303-4872
Phone number: 320-202-8949
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Mailing Address
MARK A ERICKSON DO
828 STARLIGHT DR
SARTELL, MN 56377-4513
Phone number: 320-828-2701
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