Individual
FREDRICK E EKBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 E SUPERIOR ST, SUITE 109, DULUTH, MN 55802-2238
(218) 722-3700
(218) 722-8705
Mailing address
925 E SUPERIOR ST, SUITE 109, DULUTH, MN 55802-2238
(218) 722-3700
(218) 722-8705
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
16940
MN
2085N0700X
Neuroradiology Physician
16940
MN
2085N0904X
Nuclear Radiology Physician
16940
MN
2085P0229X
Pediatric Radiology Physician
16940
MN
2085R0202X
Diagnostic Radiology Physician
Primary
16940
MN
2085R0204X
Vascular & Interventional Radiology Physician
16940
MN
2085U0001X
Diagnostic Ultrasound Physician
16940
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1601359
MEDICA
—
05
—
30725300
—
WI
05
—
375397200
—
MN
01
—
HP32349
HEALTHPARTNERS
—
Enumeration date
12/29/2005
Last updated
01/24/2013
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