Individual
MR. ERIK C RIVERS
Active
Individual
MR. ERIK C RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9272
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982670758
MEDICA
MN
01
—
73L03RI
BLUE CROSS BLUE SHIELD MN
MN
05
—
908143700
—
MN
01
—
NA9091021565
PREFERRED ONE
MN
Enumeration date
02/23/2006
Last updated
09/19/2023
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