Individual
ERIC DAVID IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2545 CHICAGO AVE, SUITE 601, MINNEAPOLIS, MN 55404-4522
(612) 863-7770
(612) 863-7772
Mailing address
2545 CHICAGO AVE, SUITE 601, MINNEAPOLIS, MN 55404-4522
(612) 863-7770
(612) 863-7772
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31543
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700904
MEDICA
—
01
—
258T81R
BLUE CROSS BLUE SHIELD
—
05
—
32143500
—
WI
05
—
612398800
—
MN
01
—
P009183
PREFERRED ONE
—
Enumeration date
08/24/2006
Last updated
07/09/2014
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