Individual
BARTLETT ERIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8555
Mailing address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21403
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-13166
MEDICA
MN
05
—
116212
—
MN
01
—
22787
SIOUX VALLEY
MN
01
—
559215
ARAZ
MN
01
—
5T420ER
BCBS
MN
05
—
5T420ER
—
MN
05
—
959478
—
IA
01
—
A020
CHAMPUS
MN
01
—
HP29870
HEALTH PARTNERS
MN
01
—
MH9041000378
PPO
MN
Enumeration date
12/13/2005
Last updated
07/09/2007
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