Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB L ERICKSON, DO
ActiveJACOB L ERICKSON, DO is a Sports Medicine healthcare provider located in ONALASKA, Wisconsin. NPI 1861787814 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · ONALASKA, WI
Registration Details
- NPI Number
- 1861787814
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2011 (15.114405654696 yrs)
- Last Updated
- Jun 15, 2022
- Licenses
-
55271 (MN)64193 (WI)64193 (WI)
Practice Information
- Address
-
191 THEATER RDONALASKA, WI, 54650Browse WI providers · Browse ZIP 54650
- Phone
- 6087850940
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Sports Medicine
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.