Individual
JEROME A ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
825 S 8TH ST, SUITE 1216, MINNEAPOLIS, MN 55404-1208
(612) 332-0559
(612) 332-2554
Mailing address
825 S 8TH ST, SUITE 1216, MINNEAPOLIS, MN 55404-1208
(612) 332-0559
(612) 332-2554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7072
MN
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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