David Kenneth Erickson, M.D.

Individual provider Active NPI Family Medicine Physician · Flandreau, SD

NPI 1811061765 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1811061765
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
1806 (SD)
Practice address
214 N Prairie St
Flandreau, SD 57028-1243
Phone
(605) 322-4506
Fax
(605) 322-4673
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1806SDMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1806 SD Yes

Addresses

Primary practice location

214 N Prairie St
Flandreau, SD 57028-1243

Mailing address

3900 W Avera Dr
Sioux Falls, SD 57108-5729
Phone (605) 322-4506

Other providers in Flandreau, SD

All providers in Flandreau, SD · Family Medicine Physician in South Dakota

Sources for this page

Verify at the official NPI Registry.