Individual
JONATHAN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
(262) 245-2248
Mailing address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
(262) 245-2248
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
68109
WI
207X00000X
Orthopaedic Surgery Physician
Primary
68109-20
WI
207X00000X
Orthopaedic Surgery Physician
A173174
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
71727
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A173174
CA
Other
Enumeration date
04/03/2016
Last updated
10/30/2025
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