Individual
ERIC JOHN DECUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
10384
MN
363AS0400X
Surgical Physician Assistant
10384
MN
Other
Enumeration date
11/25/2005
Last updated
03/11/2021
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