Individual
DR. ERIK MICHAEL THORDARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 N MICHIGAN ST STE 400, SOUTH BEND, IN 46601-1071
(574) 647-8470
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01089548A
IN
2084P0800X
Psychiatry Physician
4301505846
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300078327
—
IN
Enumeration date
04/03/2018
Last updated
03/14/2024
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