Individual
GRACE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 STATE ST, EAU CLAIRE, WI 54701-4071
(612) 222-8071
Mailing address
1325 STATE ST, EAU CLAIRE, WI 54701-4071
(612) 222-8071
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38447870
HEALTH PARTNERS
MN
Enumeration date
12/20/2019
Last updated
12/20/2019
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