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Individual

ERIK J IVERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1222 TROTWOOD AVE, SUITE 605, COLUMBIA, TN 38401-6436
(931) 490-7775
(931) 490-7797
Mailing address
1222 TROTWOOD AVE, SUITE 605, COLUMBIA, TN 38401-6436
(931) 490-7775
(931) 490-7797

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
29004
WV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
37662
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301109965
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
66387
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME129911
FL
207RP1001X
Pulmonary Disease Physician
37662
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1851452312
WI
05
3725122
TN
05
3889995
TN
01
4081378
BCBS TN
TN
01
DB8051
RR MEDICARE GROUP
TN
01
P00129206
RAILROAD MEDICARE
TN
Enumeration date
12/12/2006
Last updated
07/22/2019
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