Individual
ADAM N ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233
(414) 219-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4105
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069646
—
WI
Enumeration date
07/27/2017
Last updated
12/06/2021
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