Michael Dennis Erickson O.D.

NPI 1093707556 - Optometrist - 152W00000X

NPI Details
NPI 1093707556
Gender Male
Enumeration Date 08/19/2005
Last Updated 11/17/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
4538 KLAHANIE DR SE
ISSAQUAH WA, 98029, US
Phone (425) 392-9982
Fax (815) 301-5473
Business Location
4538 KLAHANIE DR SE
ISSAQUAH WA, 98029, US
Phone (425) 392-9982
Fax (815) 301-5473
Toxanomy
Taxonomy Code 152W00000X
License State Washington
License Number OD00003260
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According to our database, Dr. Michael Dennis Erickson O.D. NPI is 1093707556, taxonomy code is 152W00000X and license number is OD00003260, license state is located at Washington. Michael Dennis Erickson O.D. physically located at 4538 Klahanie Dr Se, Issaquah WA, 98029. NPI Number Michael Dennis Erickson O.D. has the Individual type.

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1093707556 NPI number is provided on an as is basis without warranty of any kind. 1093707556 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Dennis Erickson O.D. are for informational purposes only.