Individual
DR. JONATHAN PHILIP ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(651) 267-5000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2007013411
MO
207W00000X
Ophthalmology Physician
Primary
53557
MN
207W00000X
Ophthalmology Physician
9167
SD
207W00000X
Ophthalmology Physician
ME 106722
FL
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
9167
SD
Other
Enumeration date
06/25/2007
Last updated
05/31/2022
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