Individual
JOEL S ERICKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 DOYLE PARK DR, SUITE 205, SANTA ROSA, CA 95405-4558
(707) 527-8444
(707) 578-7863
Mailing address
500 DOYLE PARK DR, SUITE 205, SANTA ROSA, CA 95405-4558
(707) 527-8444
(707) 578-7863
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G54218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G542180
—
CA
Enumeration date
06/14/2006
Last updated
07/08/2007
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