Individual
BIRGIT ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 PHOENIX ST, SOUTH HAVEN, MI 49090-1443
(269) 637-1161
Mailing address
512 PHOENIX ST, SOUTH HAVEN, MI 49090-1443
(269) 637-1161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302410995
MI
Other
Enumeration date
08/31/2006
Last updated
02/16/2012
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