Individual
DR. GARY S ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
430 25TH STREET NW, BEMIDJI, MN 56601-0000
(218) 751-8626
Mailing address
430 25TH STREET, BEMIDJI, MN 56601
(218) 751-8626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8049
MN
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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