Individual
MRS. ELIZABETH CHRISTINE ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5000
Mailing address
507 SECOND ST, TRAVERSE CITY, MI 49684-2218
(989) 560-2247
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601005943
MI
Other
Enumeration date
11/29/2010
Last updated
03/20/2012
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