| Troy Dewayne Erickson, | |
|
1601 Golf Course Rd, Grand Rapids, MN 55744-8648 | |
| (218) 326-5000 | |
| Not Available |
| Full Name | Troy Dewayne Erickson |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1601 Golf Course Rd, Grand Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861568289 | NPI | - | NPPES |
| 290498500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 44961 (Minnesota) | Primary |
| Entity Name | Grand Itasca Clinic And Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
| Entity Name | Sanford Health Network North |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429 |
| Entity Name | Sanford Health Network North |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043218753 PECOS PAC ID: 8022206663 Enrollment ID: O20180222001872 |
| Mailing Address | Practice Location Address |
|---|---|
| Troy Dewayne Erickson, 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: (218) 326-5000 | Troy Dewayne Erickson, 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: (218) 326-5000 |
Dr. Daniel L Baker, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 111 Golf Course Rd, Ste 1, Grand Rapids, MN 55744 Phone: 218-326-8749 Fax: 218-326-0400 | |
Dr. Elly Trepman, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 |