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Individual

MICHAEL E ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
400 PLEASANT AVE, PARK RAPIDS, MN 56470
(218) 732-4554
Mailing address
400 PLEASANT AVE, PARK RAPIDS, MN 56470
(218) 732-4554

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2704
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BCBS4C15ZER
BCBS
MN
Enumeration date
10/25/2006
Last updated
07/08/2007
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