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Individual

MARTIN ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
28275 FIVE MILE RD, LIVONIA, MI 48154-3998
(734) 261-1740
(734) 261-1959
Mailing address
28275 FIVE MILE RD, LIVONIA, MI 48154-3998
(734) 261-1740
(734) 261-1959

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101014608
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4553968
MI
Enumeration date
01/23/2006
Last updated
03/09/2009
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