Provider Demographics
NPI:1295524312
Name:ERICSON, FAITH MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:FAITH
Middle Name:MARIE
Last Name:ERICSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:FAITH
Other - Middle Name:MARIE
Other - Last Name:ERICSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:133 S WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-3253
Mailing Address - Country:US
Mailing Address - Phone:785-318-6850
Mailing Address - Fax:
Practice Address - Street 1:651 E PRESCOTT RD
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-7408
Practice Address - Country:US
Practice Address - Phone:785-825-7251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program