Individual
MICHAEL ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 521-2700
Mailing address
8650 RIDGEWIND RD, EDEN PRAIRIE, MN 55344-4027
(952) 513-7684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA 1826
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063889871
—
MN
Enumeration date
08/27/2015
Last updated
02/14/2024
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