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Individual

DR. NILS SIEGFRIED ERIKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2101 W LOOP 281, LONGVIEW, TX 75604-2506
(903) 315-4422
(903) 753-3671
Mailing address
PO BOX 4207, LONGVIEW, TX 75606-4207

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
ME89293
FL
207RR0500X
Rheumatology Physician
Primary
P4308
TX
2083A0100X
Aerospace Medicine Physician
ME89293
FL

Other

Enumeration date
01/24/2006
Last updated
10/03/2012
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