Individual
DR. ERIK DE WATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7373 FRANCE AVE S STE 302, EDINA, MN 55435-4538
(952) 595-5652
Mailing address
4135 BENJAMIN DR, WOODBURY, MN 55129-2233
(646) 334-8790
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP6647
MN
Other
Enumeration date
01/07/2020
Last updated
09/13/2021
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