Individual
JASON M ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5705 W OLD SHAKOPEE RD STE 150, BLOOMINGTON, MN 55437-3126
(612) 871-1145
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 871-1145
(612) 870-5491
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
46543
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041176
PREFERRED ONE
—
01
—
131474
U-CARE
—
01
—
2157898
ARAZ GROUP/AMERICAS PPO
—
01
—
2900346
MEDICA HEALTH PLANS
—
01
—
386K6ER(RC)
BLUE CROSS BLUE SHIELD
—
01
—
506R1ER(PL)
BLUE CROSS BLUE SHIELD
—
01
—
660954600
MEDICAL ASSISTANCE
—
01
—
HP42391
HEALTH PARTNERS
—
01
—
P00147329
RR MEDICARE
—
Enumeration date
11/02/2005
Last updated
05/07/2020
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