Individual
MICHAEL D ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 387-8300
Mailing address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 387-8300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31304
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32043500
—
WI
Enumeration date
12/30/2005
Last updated
12/06/2021
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