Individual
DR. JOHN K ERIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4472
SD
207L00000X
Anesthesiology Physician
Primary
6387
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005830
BLUE CROSS SD
SD
05
—
179503100
—
MN
05
—
511493
—
IA
01
—
56P30ER
BLUE CROSS MN
MN
05
—
5700110
—
SD
05
—
713966
—
ND
Enumeration date
06/07/2006
Last updated
04/25/2012
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