Individual
MR. ERIC CHARLES ENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4702 GRAND AVE, DULUTH, MN 55807-2742
(218) 249-6800
(218) 249-6808
Mailing address
4702 GRAND AVE, DULUTH, MN 55807-2742
(218) 249-6800
(218) 249-6808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47407
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-20784
MEDICA ONAMIA
MN
01
—
01-20785
MEDICA HILLMAN CLINIC
MN
01
—
01-20787
MEDICA ISLE CLINIC
MN
01
—
132865
UCARE
MN
01
—
187P2EN
BLUE CROSS CLINIC
MN
01
—
490K9EN
BLUE CROSS HOSPITAL
MN
05
—
919650100
—
MN
01
—
HP52420
HEALTH PARTNERS
MN
01
—
NA9091044028
PREFERRED ONE
MN
Enumeration date
05/18/2006
Last updated
12/04/2020
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