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NPI Code Detail

MEDICARE: ERIC KIRCHNER M.D.

MEDICARE: ERIC KIRCHNER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician50883MN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00633182OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10130960OTHERMEDICA
21881889707OTHERGROUP HEATH
441K7KIOTHERMNBCBS MN
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881889707
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC KIRCHNER M.D.
Provider Business Mailing Address
First Line : 6351 E SUPERIOR ST
Second Line :
City : DULUTH
State : MN
Zip : 55804-2545
Country : US
Telephone Number : 218-249-4500
Fax Number : 218-249-4555
Provider Business Practice Location Address
First Line : 6351 E SUPERIOR ST
Second Line :
City : DULUTH
State : MN
Zip : 55804-2545
Country : US
Telephone Number : 218-249-4500
Fax Number : 218-249-4555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2007
Last Update Date : 12/04/2020

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