Individual
ERIC A POULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
132 17TH AVE NW, ROCHESTER, MN 55901-0321
(507) 292-7411
Mailing address
132 17TH AVE NW, ROCHESTER, MN 55901-0321
(507) 292-7411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41049
MN
207Q00000X
Family Medicine Physician
41803020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32549800
—
WI
Enumeration date
08/30/2005
Last updated
04/23/2024
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