NPI | 1528070513 |
---|---|
Doing Business As | ERICKSON MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | VERN E ERICKSON Owner 218-732-7760 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2006-08-11 |
Last Update Date | 2008-06-13 |