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Contact Information

BERNARD R ERICKSON, MD
1200 SIXTH AVE N
CENTRACARE CLINIC
SAINT CLOUD, MN56303-2735
 Phone: 320-252-5131
 Fax: 320-240-2118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BERNARD R ERICKSON · (Male)

NPI Number 1306848122
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2005
Last updated 08/09/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 35376
  • MN Medicaid 695582700
  • Other 771742 ARAZ GROUP AMERICAS PPO
  • Other 42Q68ER BLUE CROSS BLUE SHIELD
  • Other 2114046 FIRST HEALTH PLAN
  • Other HP26067 HEALTH PARTNERS
  • Other 2500065 MEDICA HEALTH PLANS
  • Other 695582700 MEDICAL ASSISTANCE MA
  • Other 1016077 PREFERRED ONE
  • Other 060046908 RR MEDICARE CU0204
  • Other 106328 U-CARE
Hospital affiliation(s)
  • DOUGLAS COUNTY HOSPITAL - (Acute Care)
    111 17TH AVENUE EAST
    ALEXANDRIA, MN 56308
  • PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES - (Critical Access)
    1411 STATE HIGHWAY 793
    ELBOW LAKE, MN 56531
  • RICE MEMORIAL HOSPITAL - (Acute Care)
    301 BECKER AVE SW
    WILLMAR, MN 56201
  • ST CLOUD HOSPITAL - (Acute Care)
    1406 6TH AVE NORTH
    SAINT CLOUD, MN 56303
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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