Individual
EDUARDO EHRENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 E 3RD ST, DULUTH, MN 55805-1950
(218) 786-4897
(218) 786-4980
Mailing address
407 E 3RD ST, DULUTH, MN 55805-1950
(218) 786-4897
(218) 786-4980
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
48355
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087686100
—
MN
01
—
1046525
PREFERRED ONE
MN
01
—
138133
UCARE
MN
01
—
1604022
MEDICA
MN
05
—
1716951
—
IA
01
—
2437705
AMERICA'S PPO
MN
05
—
34838300
—
WI
01
—
95G99EH
BLUE CROSS BLUE SHIELD
MN
01
—
HP60559
HEALTHPARTNERS
MN
01
—
P00313965
RAILROAD MEDICARE MN
MN
Enumeration date
05/18/2006
Last updated
06/22/2022
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