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Individual

DAVID J EGLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 345-2623
(507) 389-4685
Mailing address
120 RED OAK LN, MANKATO, MN 56001-8997

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
39966
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120323
UCARE
01
2000869
MEDICA
01
8G861EG
BLUE CROSS BLUE SHIELD
MN
01
967551028138
PREFERRED ONE
01
HP57709
HEALTH PARTNERS
Enumeration date
09/26/2006
Last updated
11/20/2007
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