Provider Demographics
NPI:1053369009
Name:ERSKINE, MICHAEL S (PA-C)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:S
Last Name:ERSKINE
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:12370 HESPERIA RD
Mailing Address - Street 2:SUITE 15
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-7719
Mailing Address - Country:US
Mailing Address - Phone:760-241-7773
Mailing Address - Fax:760-241-7793
Practice Address - Street 1:16003 TUSCOLA RD
Practice Address - Street 2:SUITE F
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-1319
Practice Address - Country:US
Practice Address - Phone:760-242-8221
Practice Address - Fax:760-242-8859
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA14433363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP89650Medicare UPIN