Individual
JACK ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1565 THOMAS CENTER DR, EAGAN, MN 55122-2642
(651) 734-6959
Mailing address
19153 ENCHANTED WAY, FARMINGTON, MN 55024-8094
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7040
MN
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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