Individual
MIKAELA ELIZABETH ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
249 5TH ST E, TRACY, MN 56175-1536
(507) 629-8400
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14296
MN
Other
Enumeration date
05/25/2023
Last updated
08/09/2023
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