Individual
CARL J ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5199 N ROYAL DR, TRAVERSE CITY, MI 49684-9201
(231) 935-8101
(231) 935-0955
Mailing address
5199 N ROYAL DR, TRAVERSE CITY, MI 49684-9201
(231) 935-8101
(231) 935-0955
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004586
MI
Other
Enumeration date
07/13/2010
Last updated
07/14/2016
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