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Individual

MICHAEL D ECKROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
913 E 26TH ST, 600, MINNEAPOLIS, MN 55404-4515
(612) 775-6200
(612) 775-6222
Mailing address
913 E 26TH ST, 600, MINNEAPOLIS, MN 55404-4515
(612) 775-6200
(612) 775-6222

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9299
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
632667600
MN
Enumeration date
07/07/2006
Last updated
11/10/2020
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