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Individual
MR. ERIC CHARLES ENBERG
Active
Individual
MR. ERIC CHARLES ENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47407
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-20784
MEDICA ONAMIA
MN
01
—
01-20785
MEDICA HILLMAN CLINIC
MN
01
—
01-20787
MEDICA ISLE CLINIC
MN
01
—
132865
UCARE
MN
01
—
187P2EN
BLUE CROSS CLINIC
MN
01
—
490K9EN
BLUE CROSS HOSPITAL
MN
05
—
919650100
—
MN
01
—
HP52420
HEALTH PARTNERS
MN
01
—
NA9091044028
PREFERRED ONE
MN
Enumeration date
05/18/2006
Last updated
12/04/2020
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