Individual
CORY RAY ECKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3000
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
295252
NY
207Q00000X
Family Medicine Physician
Primary
51700
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05396007
—
NY
Enumeration date
09/28/2006
Last updated
07/14/2022
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