Individual
DAVID W ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4122 E TOWNE BLVD, MADISON, WI 53704
(608) 242-6855
(608) 242-6848
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
762
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009390
PHYS PLUS PROV #
WI
01
—
391023846
COMM INS PROV #
WI
05
—
43888400
—
WI
01
—
500010950
RAILROAD MEDICARE PROV #
WI
01
—
70
DEANCARE PROV #
WI
Enumeration date
12/15/2005
Last updated
02/17/2021
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