Individual
MS. DANA LYNN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
611 MILL ST, HORICON, WI 53032-1461
(920) 485-4423
(920) 485-4318
Mailing address
813 LYNN ST, HORICON, WI 53032-1110
(920) 485-0880
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
591-026
WI
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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