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Kevin R Ericson, MD
Family Medicine Physician in Mishawaka, Indiana
NPI 1265458749

Kevin R Ericson is a Family Medicine Physician based in Mishawaka, IN. Kevin R Ericson practices in Mishawaka, IN and has the professional credentials of MD. The NPI Number for Kevin R Ericson is 1265458749 and holds a License No. 01046492 (Indiana).

The current practice location address for Kevin R Ericson is 611 E Douglas Rd, Mishawaka, IN and can be reached out via phone at 574-335-6500 and via fax at 574-335-0772.

Location: 611 E Douglas Rd, Mishawaka, IN, 46545-1464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265458749
Provider Name
Kevin R Ericson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
611 E Douglas Rd, Mishawaka, IN, 46545-1464
Phone Number
574-335-6500
Fax Number
574-335-0772
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200142060A 01 IN MEDICAID
institution
Provider Business Practice Location Address Details
Address
611 E Douglas Rd
City
Mishawaka
State
Indiana
Zip
46545-1464
Phone Number
574-335-6500
Fax Number
574-335-0772
person
Provider Business Mailing Address Details
Address
611 E Douglas Rd
City
Mishawaka
State
Indiana
Zip
46545-1464
Phone Number
574-335-6500
Fax Number
574-335-0772
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01046492 (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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