Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 2010-00468 | NC |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD44236 | TN |
NPI | 1316163405 |
---|---|
Provider Name | Dr. John Michael Erickson |
First Address | Raleigh, NC 27609-6832 |
Second Address | Raleigh, NC 27609-6832 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 07/11/2013 |