Female

Dr. Michele M. Erickson O.D.

Optometrist in Fargo, ND(View on Map)

Full Name

Dr. Michele M Erickson O.D.

NPI Number

1427174267

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/22/2007

Specialties

(Taxonomies)

Code

152W00000X

Primary Taxonomy

Yes

Licenses

State

North Dakota

License Number

507

Contact
Information

Purpose

Mailing
Location

Address

1401 33RD ST S
1401 33RD ST S

City

Fargo
Fargo

State

ND
ND

Postal Code

58103-3429
58103-3429

Country

US
US

Telephone Number

(701) 232-5311
(701) 232-5311

Identifiers

Identifier

509601016599
026124
60549

Identifier State

ND
ND
ND

Identifier Issuer

PREFERRED ONE
BLUE SHIELD OF ND
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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