Individual
ERIC JOHN ROSENDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5204 W NOKOMIS PKWY, MINNEAPOLIS, MN 55417-1848
(612) 584-3689
Mailing address
5204 W NOKOMIS PKWY, MINNEAPOLIS, MN 55417-1848
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9894
MN
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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