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Contact Information

ERICKSON HEALTH MEDICAL GROUP OF MICHIGAN PC
41100 FOX RUN
NOVI, MI48377-4804
 Phone: 248-668-8650
 Fax: 248-668-8651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
 

Podiatrist

213E00000X 48 Podiatry
 

Psychiatric/Mental Health

364SP0808X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for ERICKSON HEALTH MEDICAL GROUP OF MICHIGAN PC · (Female)

NPI # 1477573244
Status Active
Credentials
Entity Individual
Enumeration date 07/21/2006
Last updated 04/21/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI Medicaid 1508886375
  • MI Medicaid 1942239686
  • Other 110H217280 BCBS MI
  • Other 080636565741 BCBS OF MI
  • Other 1158217680 BSBC MI
  • Other 83-20307 EVERCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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