Timothy Carl Erickson DDS

NPI 1912015090 - Dentist - 1223G0001X

NPI Details
NPI 1912015090
Gender Male
Enumeration Date 08/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
508 SECOND AVE
TWO HARBORS MN, 55616-2007, US
Phone (218) 834-5616
Fax (218) 834-9155
Business Location
PO BOX 218
TWO HARBORS MN, 55616-0218, US
Phone (218) 834-5616
Fax (218) 834-9155
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number 5722
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According to our database, Timothy Carl Erickson DDS NPI is 1912015090, taxonomy code is 1223G0001X and license number is 5722, license state is located at Minnesota. Timothy Carl Erickson DDS physically located at 508 Second Ave, Two Harbors MN, 55616-2007. NPI Number Timothy Carl Erickson DDS has the Individual type.

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1912015090 NPI number is provided on an as is basis without warranty of any kind. 1912015090 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Carl Erickson DDS are for informational purposes only.