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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MATTHEW CAMPBELL ERICKSEN, D.O.

Active

DR. MATTHEW CAMPBELL ERICKSEN, D.O. is a Facial Plastic Surgery healthcare provider located in BOLIVAR, Missouri. NPI 1285956797 is currently active in the NPPES registry. Verify at CMS.

Facial Plastic Surgery · BOLIVAR, MO

Registration Details

NPI Number
1285956797
Provider Type
Individual
Gender
Male
NPI Issued
Feb 25, 2010 (16.475114593749 yrs)
Last Updated
Dec 5, 2024
License
2012015105 (MO)

Practice Information

Address
1155 W PARKVIEW ST
SUITE 2J
BOLIVAR, MO, 656138279
Browse MO providers · Browse ZIP 65613
Phone
4173287000
Primary Specialty
Facial Plastic Surgery
207YX0905X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.