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Individual

MR. ERIC ALLEN KROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
2200 UNIVERSITY AVE W, SUITE #114, SAINT PAUL, MN 55114-1839
(651) 644-5808
(651) 644-5926
Mailing address
753 MILL RUN CIR, EAGAN, MN 55123-1687
(651) 797-3777

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
03/27/2007
Last updated
07/08/2007
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