Individual
CLINTON ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
950 W WOOSTER ST, BOWLING GREEN, OH 43402-2603
(419) 354-9810
Mailing address
6838 WOODLAKE DR, TOLEDO, OH 43617-1141
(419) 843-8907
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.084841
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2595222
—
OH
Enumeration date
02/02/2006
Last updated
02/26/2008
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