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Individual

ERIK HEDLUND

Active
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Individual

ERIK HEDLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101013947
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
5101013947
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D14869120
MEDICARE PTAN
MI
01
PO1223799
MEDICARE RAILROAD
MI
Enumeration date
06/04/2006
Last updated
01/03/2014
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