Individual
SUSAN LEE ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
327 S MARSHALL RD, BHSI LLC SUITE 250, SHAKOPEE, MN 55379-2666
(651) 769-6500
(651) 769-6549
Mailing address
2497 7TH AVE E, BHSI LLC SUITE 101, NORTH ST PAUL, MN 55109-2496
(651) 769-6437
(651) 769-6426
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37115
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
695326300
—
MN
Enumeration date
10/23/2006
Last updated
08/12/2011
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