Individual
ERIC DEROCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
(612) 873-3000
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
67996
MN
Other
Enumeration date
04/12/2019
Last updated
03/29/2024
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