Individual
TROY DEWAYNE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 326-5000
Mailing address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 326-5000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
44961
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290498500
—
MN
Enumeration date
11/28/2006
Last updated
12/29/2015
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