| 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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