Individual
ERICA HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5701 BOW POINTE DR, SUITE 100, CLARKSTON, MI 48346-3199
(248) 625-2621
(248) 625-2622
Mailing address
5701 BOW POINTE DR, SUITE 100, CLARKSTON, MI 48346-3199
(248) 625-2621
(248) 625-2622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301086153
MI
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301086153
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00761495
RR MEDICARE IND PIN
—
01
—
P01235914
RR MEDICARE IND PIN
—
Enumeration date
05/14/2007
Last updated
08/01/2017
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