Individual
ERIC J MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3001 BROADWAY ST NE STE 500, MINNEAPOLIS, MN 55413-2197
(612) 871-1145
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 871-1145
(651) 641-0556
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10135
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899489700
—
MN
Enumeration date
06/30/2006
Last updated
11/19/2019
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