Individual
MR. GREGORY S. ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CRNA
Contact information
Practice address
1117 7TH ST N APT 11, SAINT CLOUD, MN 56303-3419
(612) 998-1410
Mailing address
1117 7TH ST N APT 11, SAINT CLOUD, MN 56303-3419
(612) 998-1410
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 100585-5
MN
Other
Enumeration date
08/06/2010
Last updated
08/09/2010
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