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Individual

PETER A ERIKSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
121 CENTRAL ST W, BAGLEY, MN 56621-4393
(218) 694-6281
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37732
MN
2083X0100X
Occupational Medicine Physician
37732
MN

Other

Enumeration date
07/16/2006
Last updated
01/12/2022
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