Individual
MARK A ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
251 COUNTY ROAD 120, SAINT CLOUD, MN 56303-4872
(320) 202-8949
Mailing address
828 STARLIGHT DR, SARTELL, MN 56377-4513
(320) 828-2701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47324
MN
Other
Enumeration date
06/27/2006
Last updated
09/30/2020
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