Provider Demographics
NPI:1487968368
Name:HARDER, ERIKA L (MD)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:L
Last Name:HARDER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1500 EAST MEDICAL CENTER DRIVE
Mailing Address - Street 2:L1242 WOMENS, SPC 5204
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-5204
Mailing Address - Country:US
Mailing Address - Phone:734-936-4038
Mailing Address - Fax:734-936-9470
Practice Address - Street 1:1500 EAST MEDICAL CENTER DRIVE
Practice Address - Street 2:L1242 WOMENS, SPC 5204
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5204
Practice Address - Country:US
Practice Address - Phone:734-936-4038
Practice Address - Fax:734-936-9470
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301093770208000000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208000000XAllopathic & Osteopathic PhysiciansPediatrics