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Evelyn J Erickson, MD
Plastic and Reconstructive Surgery Physician in St Cloud, Minnesota
NPI 1568480366

Evelyn J Erickson is a Plastic and Reconstructive Surgery Physician based in St Cloud, MN and is specialized in Plastic and Reconstructive Surgery. Evelyn J Erickson practices in St Cloud, MN and has the professional credentials of MD. The NPI Number for Evelyn J Erickson is 1568480366 and holds a License No. 37346 (Minnesota).

The current practice location address for Evelyn J Erickson is 3701 12Th St N, St Cloud, MN and can be reached out via phone at 320-253-7257 and via fax at 320-251-2938.

Location: 3701 12Th St N, St Cloud, MN, 56303
person
Provider Profile Details
NPI Number
1568480366
Provider Name
Evelyn J Erickson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3701 12Th St N, St Cloud, MN, 56303
Phone Number
320-253-7257
Fax Number
320-251-2938
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
145719500 05 MN
111011 01 UCARE
1006655 01 P-ONE
6T195ER 01 BCBS
249000019 01 METRAHEALTH (MPIN)
1301024 01 MEDICA
145719500 01 NEW MA PROVIDER
institution
Provider Business Practice Location Address Details
Address
3701 12Th St N
City
State
Zip
56303
Phone Number
320-253-7257
Fax Number
320-251-2938
person
Provider Business Mailing Address Details
Address
3701 12Th St N
City
State
Zip
56303
Phone Number
320-253-7257
Fax Number
320-251-2938
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
37346 (Minnesota)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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