Individual
ERIC CARL PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
929 CENTRAL AVE NW, EAST GRAND FORKS, MN 56721-1917
(218) 773-6800
Mailing address
929 CENTRAL AVE NW, EAST GRAND FORKS, MN 56721-1917
(218) 773-6800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49213
MN
207Q00000X
Family Medicine Physician
9879
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0124339
MEDICA
—
05
—
13492
—
ND
01
—
27032
BCBS
ND
01
—
488P7PE
BCBS
MN
05
—
999643500
—
MN
01
—
HP69865
HEALTHPARTNERS
—
01
—
NA4571045037
PREFERRED ONE
—
Enumeration date
07/19/2006
Last updated
11/18/2011
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