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Individual

STEVEN THOMAS ERICKSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7550 WEST VILLAGE CIRCLE, STE. 1, WICHITA, KS 67205
(316) 838-2020
(316) 838-7574
Mailing address
7550 WEST VILLAGE CIRCLE, STE. 1, WICHITA, KS 67205
(316) 838-2020
(316) 838-7574

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
04-35568
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200966550A
KS
Enumeration date
07/31/2008
Last updated
03/04/2013
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