Individual
DONALD PAUL ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 13TH AVE E, POLSON, MT 59860-5315
(406) 883-5680
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 883-5680
(406) 883-8910
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
8461
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000017571
BLUE CROSS
MT
05
—
0108758
—
MT
Enumeration date
08/31/2006
Last updated
11/27/2023
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