Eckroth, Michael D

Eckroth, Michael D is an individual health care provider with primary practice located at 913 E 26Th St 600, Minneapolis MN 55404-4515. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Eckroth, Michael D can be contacted via phone (612) 775-6200.

Contact Information

Primary practice address
913 E 26Th St 600 Minneapolis MN 55404-4515
Phone: (612) 775-6200
Fax: (612) 775-6222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 9299 Minnesota

Profile Details

NPI number 1891727012
LBN Legal business name Eckroth, Michael D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Nov 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891727012 NPPES
Minnesota MEDICAID 632667600

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