Individual
SUSAN RENE' ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2 MAIN ST, STE 202, KALISPELL, MT 59901-6414
(406) 752-3881
(406) 755-5120
Mailing address
2 MAIN ST, STE 202, KALISPELL, MT 59901-6414
(406) 752-3881
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
085900
AZ
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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