Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 26362 | NE |
NPI | 1033374525 |
---|---|
Provider Name | Dr. Millie Erickson |
First Address | North Platte, NE 69101 |
Second Address | North Platte, NE 69101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2008 |
Last Update Date | 31/01/2017 |