Individual
ERICA MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
4153 MONARCH AVE, CANTON, MI 48188-7207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5151017601
MI
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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