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Individual

ERIC A NAGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4695 SHORELINE DR, SPRING PARK, MN 55384-9715
(952) 442-7890
(952) 442-7894
Mailing address
4695 SHORELINE DR, SPRING PARK, MN 55384-9715
(952) 442-7890
(952) 442-7894

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34356
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
187578700
MN
Enumeration date
05/10/2006
Last updated
05/19/2008
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