Individual provider · Type 1 NPI

Kevin R. Ericson, MD

Family Medicine Physician · Mishawaka, IN

NPI number 1265458749 Active

Practice location

611 E Douglas Rd, Ste 407
Mishawaka, IN 46545-1464

Call (574) 335-6500 Map

Fax (574) 335-0772

Mailing address

611 E Douglas Rd Ste 407
Mishawaka, IN 46545-1468

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X01046492 (IN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

32 other providers at this address

Other family medicine physician providers in Mishawaka

See all in Mishawaka →

About NPI 1265458749

Kevin R. Ericson, MD's National Provider Identifier is 1265458749, issued on Jul 15, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mishawaka, IN. The record was last updated on Jan 13, 2026.