Individual
MR. JOHN M EGGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD LP
Contact information
Practice address
1321 13TH ST N, ST CLOUD, MN 56303-2614
(320) 252-5010
(320) 203-1855
Mailing address
1321 13TH ST N, ST CLOUD, MN 56303-2614
(320) 252-5010
(320) 203-1855
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2222
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16937
OPTUM
—
01
—
6101666
MEDICA
—
01
—
69179EG
BCBS
—
01
—
922241022575
PREFERRED ONE
—
01
—
HP25565
HEALTH PARTNERS
—
Enumeration date
06/20/2006
Last updated
07/08/2007
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