Individual
TIMOTHY CARL ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
508 SECOND AVE, TWO HARBORS, MN 55616-2007
(218) 834-5616
(218) 834-9155
Mailing address
PO BOX 218, TWO HARBORS, MN 55616-0218
(218) 834-5616
(218) 834-9155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5722
MN
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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