Individual
GRANT ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6000
Mailing address
2 BAYSHORE CT, GAITHERSBURG, MD 20878-1973
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D0092401
MD
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
D0092401
MD
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD493465
PA
Other
Enumeration date
05/01/2015
Last updated
04/21/2026
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