Individual
ERIC STURLAUGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2855 CAMPUS DR, PLYMOUTH, MN 55441-2649
(763) 577-7179
Mailing address
18585 85TH AVE N, MAPLE GROVE, MN 55311-1667
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28583
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467777300
—
MN
Enumeration date
10/03/2006
Last updated
03/11/2021
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