Provider Demographics
NPI:1508054172
Name:CAPERTON, ERSKINE M (MD)
Entity Type:Individual
Prefix:
First Name:ERSKINE
Middle Name:M
Last Name:CAPERTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2233 HAMLINE AVE N
Mailing Address - Street 2:SUITE 508
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-5009
Mailing Address - Country:US
Mailing Address - Phone:651-633-6230
Mailing Address - Fax:651-633-2428
Practice Address - Street 1:2233 HAMLINE AVE N
Practice Address - Street 2:SUITE 508
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-5009
Practice Address - Country:US
Practice Address - Phone:651-633-6230
Practice Address - Fax:651-633-2428
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN18800207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN24904OtherAMERICA'S PPO
MN02369CAOtherBLUE CROSS BLUE SHIELD
MN963940512001OtherPREFERRED ONE
MN3201887OtherMEDICA
MN200OtherHEALTHPARTNERS
MN111704OtherU-CARE
MN111704OtherU-CARE