Individual
ERICK SAMUEL JACOBSON-DUNLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3123
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
557781
MN
207ZD0900X
Dermatopathology (Pathology) Physician
MD161051
OR
207ZD0900X
Dermatopathology (Pathology) Physician
MD41691
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538301973
—
MN
Enumeration date
03/31/2009
Last updated
07/16/2021
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