Individual
ERIC J STORVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 E MAIN STREET, MANKATO CLINIC AT MAIN STREET, MANKATO, MN 56002-8674
(507) 625-1811
Mailing address
PO BOX 8674, 1230 E MAIN ST MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36201
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401913
MEDICA MN
—
01
—
110103563
RR MEDICARE
—
01
—
121152
UCARE MN
—
01
—
2M646ST
BCBS MN
—
01
—
41084933956001C033
CHAMPUS
—
05
—
415863600
—
MN
01
—
887698
AMERICAS PPO MN
—
05
—
938472
—
IA
01
—
HP25686
HEALTH PARTNERS MN
—
01
—
NA2951023861
PREFERRED ONE MN
—
Enumeration date
01/10/2006
Last updated
07/15/2020
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