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General NPI Number Information
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NPI Number | 1770722720
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Entity Type | Individual
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Provider Name | MICHAEL D ERICKSON DC
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Gender | Male
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Dates
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Enumeration Date | 02/16/2009
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 902 S MAIN ST STE 201
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City | SAUKVILLE
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State | WI
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Zip | 53080-2118
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Country | US
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Telephone | 262-268-0606
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Fax |
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Provider Business Mailing Address
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Address Line | 5983 S OAK RD
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City | WEST BEND
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State | WI
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Zip | 53095-7814
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Country | US
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Telephone | 262-623-7523
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4482-12
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License Number State | WI
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