Thomas W. Ericksen, M.d. | |
1835 E High St Springfield OH 45505-5210 | |
(937) 525-0100 | |
(937) 525-9376 |
Full Name | Thomas W. Ericksen, M.d. |
---|---|
Speciality | Nurse Practitioner - Family |
Location | 1835 E High St, Springfield, Ohio |
Authorized Official Name and Position | Thomas W Ericksen (BUSINESS OWNER) |
Authorized Official Contact | 9375250100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thomas W. Ericksen, M.d. 1835 E High St Springfield OH 45505-5210 Ph: (937) 525-0100 | Thomas W. Ericksen, M.d. 1835 E High St Springfield OH 45505-5210 Ph: (937) 525-0100 |
NPI Number | 1225119936 |
---|---|
Provider Enumeration Date | 10/18/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225119936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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