Individual
JAMES EDWARD ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
412 N MAIN AVE, WARROAD, MN 56763-2342
(218) 386-2020
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-6468
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64388
MN
390200000X
Student in an Organized Health Care Education/Training Program
64388
MN
Other
Enumeration date
05/23/2017
Last updated
03/18/2021
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