Individual
DR. RUSSELL IRVING CARL ERICKSON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
46 BARRA RD, BIDDEFORD, ME 04005-9459
(207) 282-5509
Mailing address
46 BARRA RD, BIDDEFORD, ME 04005-9459
(207) 282-5509
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MS24535
ME
Other
Enumeration date
06/02/2016
Last updated
07/26/2021
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