Provider Demographics
NPI:1841495587
Name:BATTERSON, ERIC GEORGE (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:GEORGE
Last Name:BATTERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:857 E SUMMERFIELD GLEN CIR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-9161
Mailing Address - Country:US
Mailing Address - Phone:607-727-8443
Mailing Address - Fax:320-341-3578
Practice Address - Street 1:1500 EAST MEDICAL CENTER DRIVE
Practice Address - Street 2:U OF M HOSPITALS - M5228 MSI SPC 5602
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5602
Practice Address - Country:US
Practice Address - Phone:607-727-8443
Practice Address - Fax:320-341-3578
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301090518208D00000X, 207ZP0102X
MI5315032210208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301090518OtherLICENSE - MEDICAL DOCTOR
MI5315032210OtherPHARMACY