Individual
JOSHUA ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3596 ALPINE AVE NW, WALKER, MI 49544-1659
(616) 647-2260
Mailing address
148 LEXINGTON AVE NW, GRAND RAPIDS, MI 49504-5649
(989) 954-1234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5351013905
MI
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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