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Individual

LILLIAN ERDAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
106875
MN
208600000X
Surgery Physician
56862
MN
208600000X
Surgery Physician
Primary
MD41945
IA
208600000X
Surgery Physician
MT188335
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
IA
05
ENROLLED
MN
Enumeration date
05/09/2007
Last updated
01/06/2015
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