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Individual

DR. PAUL N ERCKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1307B EAST FRANKLIN ST, MONROE, NC 28112-5027
(704) 289-2556
(704) 282-1282
Mailing address
1307B EAST FRANKLIN ST, MONROE, NC 28112-5027
(704) 289-2556
(704) 282-1282

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16277
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
249124
MAMSI
NC
01
30740
BLUE CROSS BLUE SHIELD
NC
01
4491878
AETNA
NC
05
8930740
NC
05
N16277
SC
Enumeration date
05/18/2006
Last updated
07/08/2007
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