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Individual

ERIC THOMAS PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
58161
MN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
58161
MN

Other

Enumeration date
09/23/2014
Last updated
04/30/2019
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