Individual
BRADLEY W ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 331-3400
(812) 332-7265
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 331-3400
(812) 332-7265
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01059864A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200165460
—
IN
05
—
200864920
—
IN
Enumeration date
03/06/2007
Last updated
12/04/2020
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