Individual
ERIC LEE DUNSMOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 439-1547
Mailing address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 275-3325
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
142395
WI
363LF0000X
Family Nurse Practitioner
R153869-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218272600
—
MN
05
—
36007500
—
WI
Enumeration date
09/09/2005
Last updated
02/15/2011
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