Individual
BERNARD RUDOLPH ERICKSON
Active
Individual
BERNARD RUDOLPH ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35376
MN
207RI0011X
Interventional Cardiology Physician
Primary
35376
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060046908
RR MEDICARE CU0204
—
01
—
1016077
PREFERRED ONE
—
01
—
106328
U-CARE
—
01
—
2114046
FIRST HEALTH PLAN
—
01
—
2500065
MEDICA HEALTH PLANS
—
01
—
42Q68ER
BLUE CROSS BLUE SHIELD
—
01
—
695582700
MEDICAL ASSISTANCE MA
—
05
—
695582700
—
MN
01
—
771742
ARAZ GROUP AMERICAS PPO
—
01
—
HP26067
HEALTH PARTNERS
—
Enumeration date
08/11/2005
Last updated
08/09/2012
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