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Individual

DR. BENJAMIN JAMES ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301107421
MI
207R00000X
Internal Medicine Physician
Primary
DR.0058824
CO
207R00000X
Internal Medicine Physician
MD29357
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
028444
KAISER COMMERCIAL NUMBER
CO
Enumeration date
07/26/2007
Last updated
05/10/2021
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