Erickson, Troy Dewayne

Erickson, Troy Dewayne is an individual health care provider with primary practice located at 1601 Golf Course Rd , Grand Rapids MN 55744-8648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Erickson, Troy Dewayne can be contacted via phone (218) 326-5000.

Contact Information

Primary practice address
1601 Golf Course Rd Grand Rapids MN 55744-8648
Phone: (218) 326-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 44961 Minnesota

Profile Details

NPI number 1861568289
LBN Legal business name Erickson, Troy Dewayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Dec 29th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861568289 NPPES
Minnesota MEDICAID 290498500

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