Individual
ANDREW CHRIS ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1210 W 18TH ST STE LL03, SIOUX FALLS, SD 57104-4654
(605) 328-1410
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
81103
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760987077
—
WI
Enumeration date
03/28/2018
Last updated
07/30/2024
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