Individual
ERICA MAGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
914 W IRONWOOD DR STE 101, COEUR D ALENE, ID 83814-4927
(208) 625-3500
(208) 625-3501
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-3500
(208) 625-3501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
EM082598
MI
207Q00000X
Family Medicine Physician
Primary
MC0953
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0802310322
BCBS
MI
05
—
104954493
—
MI
01
—
200000007190
PHPMM
MI
01
—
P00382975
RAILROAD MEDICARE
—
Enumeration date
01/08/2007
Last updated
04/15/2024
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