Individual
DR. ERIC FREDERIC ERICSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1948 1ST AVE NE, CEDAR RAPIDS, IA 52402-5321
(319) 364-0121
Mailing address
1948 1ST AVE NE, CEDAR RAPIDS, IA 52402-5321
(319) 364-0121
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD-44158
IA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD-44158
IA
Other
Enumeration date
07/29/2011
Last updated
08/17/2021
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