Kim L Erickson in Grand Rapids - Oral And Maxillofacial Pathology

Kim L Erickson - NPI 1568486769

Kim L Erickson is a Oral And Maxillofacial Pathology in Grand Rapids, Michigan. Kim L Erickson practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Kim L Erickson is 1568486769. The last update date is 2007-07-08.

Kim L Erickson's current location address is 4500 Cascade Rd Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169775000 and fax number 6169770020. The mailing address for Kim L Erickson is 4500 Cascade Rd Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Kim L Erickson
Address 4500 Cascade Rd Se, Grand Rapids, Michigan
Phone Number 6169775000
Fax Number 6169770020
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1568486769
Provider Enumeration Date 2006-07-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4500 Cascade Rd Se
City Grand Rapids
State Michigan (MI)
Post Code 495463665
Phone Number 6169775000
Fax Number 6169770020

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No KE011553
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

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FAQs about Kim L Erickson

What is the Kim L Erickson's 1568486769?

The Kim L Erickson's NPI (National Provider Identifier) Number is 1568486769. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Kim L Erickson?

The Kim L Erickson is physically situated at 4500 Cascade Rd Se, in the city of Grand Rapids, state of MI, with the postal code 495463665.

What is Kim L Erickson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kim L Erickson is Oral And Maxillofacial Pathology, and the taxonomy classification code that categorizes this area of expertise is 1223P0106X.

On what date did Kim L Erickson receive its 1568486769 assignment from the Centers for Medicare & Medicaid Services?

The Kim L Erickson was assigned its 1568486769 on 2006-07-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Kim L Erickson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kim L Erickson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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