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1821281866

NPI Code Detail

MEDICARE: ELISABETH D EREKSON MD

MEDICARE: ELISABETH D EREKSON 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	207V00000X	Obstetrics & Gynecology Physician	164699	MT
2	207V00000X	Obstetrics & Gynecology Physician	15917	NH
3	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	15917	NH
4	207VG0400X	Gynecology Physician	15917	NH

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	:	1821281866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISABETH D EREKSON MD

Provider Business Mailing Address
First Line	:	PO BOX 6010
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59406-6010
Country	:	US
Telephone Number	:	406-455-5000
Fax Number	:	406-731-8318

Provider Business Practice Location Address
First Line	:	2720 10TH AVE S
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-3240
Country	:	US
Telephone Number	:	406-731-8017
Fax Number	:	406-731-8001

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

Provider Enumeration Date	:	08/23/2007
Last Update Date	:	11/21/2025

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Directions to “ ELISABETH D EREKSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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