Individual provider · NPI-1

Dr. Jay S Erickson, MD

Family Medicine · Whitefish, MT

NPI number1235237660
StatusActive
Last updated in NPPESMay 12, 2008

Details

NPI
1235237660
Entity type
Individual (NPI-1)
Name
Dr. Jay S Erickson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 20, 2006
Last updated
May 12, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine6585MTYes

Practice location

1111 Baker Ave
Glacier Medical Associates
Whitefish, MT 59937-2901

Phone 406-862-2515 · Fax 406-862-4229

Mailing address

1111 Baker Ave
Glacier Medical Associates
Whitefish, MT 59937-2901

Phone 406-862-2515 · Fax 406-862-4229

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