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NPI Code Detail

MEDICARE: MADELINE A ERICKSON PA-C

MEDICARE: MADELINE A ERICKSON PA-C
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
1363A00000XPhysician Assistant5402TN

General Provider Information

NPI Number : 1588362206
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE A ERICKSON PA-C
Provider Business Mailing Address
First Line : 10001 W INNOVATION DR STE 200
Second Line :
City : MILWAUKEE
State : WI
Zip : 53226-4851
Country : US
Telephone Number : 888-938-3838
Fax Number : 888-919-1083
Provider Business Practice Location Address
First Line : 341 WALLACE RD STE D
Second Line :
City : NASHVILLE
State : TN
Zip : 37211-8001
Country : US
Telephone Number : 888-938-3838
Fax Number : 888-919-1083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2023
Last Update Date : 03/19/2026

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Directions to “ MADELINE A ERICKSON PA-C” Practice Location

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