Dr. Mark R Erickson
Human Factors Physical Therapist - Sports Physical Therapist - Orthopedic
161 W Wisconsin Ave
Pewaukee
, Wisconsin 53072-3467
Dr. Mark R Erickson
Human Factors Physical Therapist - Sports Physical Therapist - Orthopedic
161 W Wisconsin Ave
Pewaukee
, Wisconsin 53072-3467
(262) 349-8424
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About
Features
Specialties
- Human Factors
- Physical Therapist - Sports
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Dr. Mark R Erickson
- 305 Woodlands Ct
- Hartland, WI
- Zip : 53029-2295
- Phone : (262) 349-8424
Second Address
- Dr. Mark R Erickson
- 161 W Wisconsin Ave
- Pewaukee, WI
- Zip : 53072-3467
- Phone : (262) 349-8424
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251H1300X | Human Factors | 2755-024 | WI |
| N | 225XH1300X | Human Factors | 2755-024 | WI |
| N | 2251S0007X | Physical Therapist - Sports | 2755-024 | WI |
| Y | 2251X0800X | Physical Therapist - Orthopedic | 2755-024 | WI |
National Provider Identifier
| NPI | 1225325111 |
|---|---|
| Provider Name | Dr. Mark R Erickson |
| First Address | Hartland, WI 53029-2295 |
| Second Address | Pewaukee, WI 53072-3467 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2011 |
| Last Update Date | 30/06/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.