MEDICARE: ERIK JOEL DICKSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	40111	WI
2	208M00000X	Hospitalist Physician	40111	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982714473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIK JOEL DICKSON MD

Provider Business Mailing Address
First Line	:	719 W HAMILTON AVE STE B
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54701-6970
Country	:	US
Telephone Number	:	715-552-9784
Fax Number	:	715-835-6370

Provider Business Practice Location Address
First Line	:	855 LAKELAND DR
Second Line	:
City	:	CHIPPEWA FALLS
State	:	WI
Zip	:	54729-1687
Country	:	US
Telephone Number	:	715-839-9280
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	09/05/2025

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