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Search › Minnesota › 152W00000X

Jacob Erickson, O.D

NPI 1700370749 · on the registry since 2018

Practice

Address
1089 Grand Ave
Saint Paul, MN 55105
Phone
(651) 797-4834
Organisation at this address
Spectacle Shoppe Inc.
The Spectacle Shoppe Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota