Provider Demographics
NPI:1003013392
Name:RATCHFORD, ERIK M (DO)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:M
Last Name:RATCHFORD
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Gender:M
Credentials:DO
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Mailing Address - Street 1:245 CHERRY ST SE,
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-4607
Mailing Address - Country:US
Mailing Address - Phone:616-459-3551
Mailing Address - Fax:616-459-1060
Practice Address - Street 1:245 CHERRY ST SE,
Practice Address - Street 2:SUITE 202
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-4607
Practice Address - Country:US
Practice Address - Phone:616-459-3551
Practice Address - Fax:616-459-1060
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2022-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101017248208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology