Mark James Erickson (NPI# 1144587551, PAC ID# 5395069280) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1144587551 |
| PAC ID by PECOS | 5395069280 |
| Professional Enrollment ID | I20180820002411 |
| Full Name | Mark James Erickson |
| Organization Legal Name | GUNDERSEN CLINIC LTD |
| Address |
1836 S Ave La Crosse WI 54601-5429 |
| Phone Number | 6087827300 |
| Gender | M |
| Medical School | MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY |
| Graduation Year | 2012 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 9638082779 |
| Number of Group Practice Members | 451 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520087 | GUNDERSEN LUTHERAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1836 S Ave, La Crosse, WI 54601-5429 | 6087827300 | GUNDERSEN CLINIC LTD |
| 111 Riverfront, Winona, MN 55987-3456 | 5074548700 | GUNDERSEN CLINIC LTD |
| Organization Legal Name | GUNDERSEN CLINIC LTD |
| Physicians | 247 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla J Gilman | Nurse Practitioner | Gundersen Clinic Ltd | 1021 N Superior Ave, Tomah, WI 54660-1100 |
| Justin D Atherton | Optometry | Gundersen Clinic Ltd | 601 W Adams St, Black River Falls, WI 54615-9010 |
| Phillip S Mitchell | Physical Therapy | Gundersen Clinic Ltd | 405 S, Suite 76, Caledonia, MN 55921-1308 |
| Lyndell M Wedyke | Certified Nurse Midwife (cnm) | Gundersen Clinic Ltd | 321 Butts Ave, Tomah, WI 54660-1412 |
| Allison M Burbach | Optometry | Gundersen Clinic Ltd | 845 Water Ave, Hillsboro, WI 54634-6213 |
| Lukasz Babiarz | Diagnostic Radiology | Gundersen Clinic Ltd | 101 S Hill St, La Crescent, MN 55947-1389 |
| Deepa T Sathiah | Oral Surgery | Gundersen Clinic Ltd | 118 S Marquette Rd, Prairie Du Chien, WI 53821-1640 |
| Ashley K Stehl | Optometry | Gundersen Clinic Ltd | 400 W Jefferson Ave, Sparta, WI 54656-2115 |
| Lauren M Castro | Oral Surgery | Gundersen Clinic Ltd | 807 E Wells St, Pr Du Chien, WI 53821-2300 |
| Jared I Darveaux | Allergy/immunology | Gundersen Clinic Ltd | 1600 Main St, Onalaska, WI 54650-2838 |
| Street Address |
1836 S AVE |
| City | LA CROSSE |
| State | WI |
| Zip | 54601-5429 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle M Berdahl | Obstetrics/gynecology | Gundersen Lutheran Medical Center Inc | 1836 S Ave, La Crosse, WI 54601-5429 |
| Julie A Sonsalla | Nurse Practitioner | Gundersen Lutheran Medical Center Inc | 1836 S Ave, La Crosse, WI 54601-5429 |
| Danya Kay Dravis | Psychologist, Clinical | Gundersen Lutheran Medical Center Inc | 1836 S Ave, La Crosse, WI 54601-5429 |
| Benjamin T Jarman | General Surgery | Gundersen Lutheran Medical Center Inc | 1836 S Ave, La Crosse, WI 54601-5429 |
| Anthony M Sanchez | Physician Assistant | Gundersen Lutheran Medical Center Inc | 1836 S Ave, La Crosse, WI 54601-5429 |
| James E Lean | Psychiatry | Gundersen Lutheran Medical Center Inc | 1836 S Ave, La Crosse, WI 54601-5429 |
| Jared M Gorsuch | Psychiatry | Gundersen Lutheran Medical Center Inc | 1836 S Ave, La Crosse, WI 54601-5429 |
| Emily M Allex | Internal Medicine | Gundersen Lutheran Medical Center Inc | 1836 S Ave, La Crosse, WI 54601-5429 |
| Kristie K Shappell | Ophthalmology | Gundersen Lutheran Medical Center Inc | 1836 S Ave, La Crosse, WI 54601-5429 |
| Chi Seng Lam | Anesthesiology Assistant | Gundersen Lutheran Medical Center Inc | 1836 S Ave, La Crosse, WI 54601-5429 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christi M Nowland | Clinical Social Worker | Garrison Counseling, Inc. | 319 Main St, Suite 510, La Crosse, WI 54601-0710 |
| Deborah L Garrison | Clinical Social Worker | Garrison Counseling, Inc. | 319 Main St, Suite 510, La Crosse, WI 54601-0710 |
| Andrew Markworth | Chiropractic | Three Rivers Chiropractic LLC | 2837 Darling Ct, La Crosse, WI 54601-2754 |
| Michael J Borst | Physical Therapy | Roberts and Associates Physical Therapy Sc | 2839 Darling Ct, La Crosse, WI 54601-2754 |
| Courtney N Holub | Chiropractic | Three Rivers Chiropractic LLC | 2837 Darling Ct, La Crosse, WI 54601-2754 |
| Chad W Schultz | Chiropractic | Three Rivers Chiropractic LLC | 2837 Darling Ct, La Crosse, WI 54601-2754 |
| Matthew D Haberl | Physical Therapy | Roberts and Associates Physical Therapy Sc | 2839 Darling Ct, La Crosse, WI 54601-2754 |
| Diane Fletcher Klos | Physical Therapy | Roberts and Associates Physical Therapy Sc | 2839 Darling Ct, La Crosse, WI 54601-2754 |
| Rachel R Bouska | Chiropractic | Three Rivers Chiropractic LLC | 2837 Darling Ct, La Crosse, WI 54601-2754 |
| Marci Jean Skemp | Physical Therapy | Roberts and Associates Physical Therapy Sc | 2839 Darling Ct, La Crosse, WI 54601-2754 |
| Find all physicians in zip 54601 | |||
| City | LA CROSSE |
| Zip Code | 54601 |
| Specialty | ORAL SURGERY |
| City + Specialty | LA CROSSE + ORAL SURGERY |
Please comment or provide details below to improve the information on Mark James Erickson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.