Larry Wayne Erickson DDS

NPI 1083683437 - Dentist - 1223G0001X

NPI Details
NPI 1083683437
Gender Male
Enumeration Date 03/17/2006
Last Updated 12/15/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
4001 STINSON BLVD NE
SUITE 414
ST. ANTHONY MN, 55421, US
Phone (612) 789-7888
Fax (612) 789-7889
Business Location
4001 STINSON BLVD NE
SUITE 414
ST. ANTHONY MN, 55421, US
Phone (612) 789-7888
Fax (612) 789-7889
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number 8758
Remove 1083683437 NPI Number
 

According to our database, Larry Wayne Erickson DDS NPI is 1083683437, taxonomy code is 1223G0001X and license number is 8758, license state is located at Minnesota. Larry Wayne Erickson DDS physically located at 4001 Stinson Blvd Ne, St. Anthony MN, 55421. NPI Number Larry Wayne Erickson DDS has the Individual type.

Sponsored links

1083683437 NPI number is provided on an as is basis without warranty of any kind. 1083683437 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Wayne Erickson DDS are for informational purposes only.