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Individual

ERIC EVAN KIRKSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1321 PAYNE AVE UNIT 2, SAINT PAUL, MN 55130-3433
(651) 371-4880
(651) 371-4881
Mailing address
1321 PAYNE AVE UNIT 2, SAINT PAUL, MN 55130-3433
(651) 371-4880
(651) 371-4881

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
51158
MN
208100000X
Physical Medicine & Rehabilitation Physician
56002
WI

Other

Enumeration date
08/08/2008
Last updated
01/12/2023
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