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Contact Information

ELISABETH D EREKSON, MD
2720 10TH AVE S
GREAT FALLS, MT59405-3240
 Phone: 406-731-8017
 Fax: 406-731-8001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ELISABETH D EREKSON · (Female)

NPI Number 1821281866
Status Active
Credentials MD
Entity Individual
Enumeration date 08/23/2007
Last updated 11/21/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • MT License # 164699
  • NH License # 15917
  • NH Medicaid 3083640
Hospital affiliation(s)
  • MAINE MEDICAL CENTER - (Acute Care)
    22 BRAMHALL ST
    PORTLAND, ME 04102
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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