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Individual

DR. JOHN ECKFELDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
420 DELAWARE STREET SE, 760 MAYO MEMORIAL BUILDING, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 626-0622
(612) 626-2696
Mailing address
420 DELAWARE STREET SE, MMC 609 UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 626-0622
(612) 626-2696

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
23510
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0507590
IA
01
1009092
PREFERRED ONE
MN
01
101354
UCARE
MN
05
10387
ND
01
11-22544
MEDICA CHOICE
MN
01
11-74539
MEDICA PRIMARY
MN
05
276705800
MN
01
2T213EC
BCBS
MN
05
32622700
WI
05
51170
MT
01
768093
ARAZ
MN
05
7777470
SD
01
HP22283
HEALTHPARTNERS
MN
Enumeration date
06/30/2006
Last updated
10/25/2012
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