| NPI | 1225119936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W ERICKSEN Business Owner 937-525-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |