Individual
MS. ELIZABETH BLIXT ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5120 STETTIN DR, WAUSAU, WI 54401-3824
(715) 551-6827
Mailing address
415 KOLTER ST, WAUSAU, WI 54403-6606
(715) 864-0520
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318506
WI
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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