Individual
VERN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
26747
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54713ER
BCBS
MN
Enumeration date
08/15/2006
Last updated
04/18/2008
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