Organization
VERN E ERICKSON MD PA
Active
Other names
ERICKSON MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERN E ERICKSON (OWNER)
(218) 732-7760
Entity
Organization
Contact information
Practice address
205 7TH ST W, PARK RAPIDS, MN 56470-1545
(218) 732-7760
(218) 732-7334
Mailing address
3920 13TH AVE E, SUITE 6, HIBBING, MN 55746-3675
(218) 263-7540
(866) 732-0699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120354100
—
MN
01
—
82065ER
BCBS
MN
Enumeration date
08/11/2006
Last updated
06/13/2008
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