Individual
MR. SAMUEL ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
1381 JEFFERSON RD, NORTHFIELD, MN 55057-3080
(507) 646-6854
Mailing address
1381 JEFFERSON RD, NORTHFIELD, MN 55057-3080
(507) 646-6854
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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