Individual
MR. ERIK MICHAEL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 9TH ST N, VIRGINIA, MN 55792-2325
(218) 749-9457
(218) 749-9427
Mailing address
901 9TH ST N, VIRGINIA, MN 55792-2325
(218) 749-9457
(218) 749-9427
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R198549-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205145794
—
MN
Enumeration date
09/30/2010
Last updated
01/14/2011
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