Individual
PAUL ANDREW EKBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4027 COUNTY ROAD 25, ST LOUIS PARK, MN 55416
(612) 925-6033
(612) 925-8496
Mailing address
4240 PARK GLEN RD, ST LOUIS PARK, MN 55416-5427
(612) 925-6033
(612) 925-8496
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38807
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
738714800
—
MN
01
—
H400378386
ACP MEDICARE
MN
Enumeration date
01/04/2006
Last updated
09/28/2018
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