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Individual

DR. BRIAN ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 SAINT JOHNS BLVD, MAPLEWOOD, MN 55109-1183
(651) 232-5354
(651) 232-5217
Mailing address
1600 SAINT JOHNS BLVD, MAPLEWOOD, MN 55109-1183
(651) 232-5354
(651) 232-5217

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
34586
MN
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
34586
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0VN2576
VT
Enumeration date
09/28/2006
Last updated
06/30/2022
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