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Individual

ERICK WILLETT MCCABE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
1527 E 39TH ST, MINNEAPOLIS, MN 55407-2837
(612) 867-7070

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2459329
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2459329
NURSING LICENSE
MN
Enumeration date
11/14/2017
Last updated
11/14/2017
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