Healthcare Provider Details

I. General information

NPI: 1063041556
Provider Name (Legal Business Name): ERIC E. TWOHEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5155 55TH ST NW
ROCHESTER MN
55901-3855
US

IV. Provider business mailing address

5155 55TH ST NW
ROCHESTER MN
55901-3855
US

V. Phone/Fax

Practice location:
  • Phone: 507-535-1977
  • Fax:
Mailing address:
  • Phone: 507-535-1977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number69533
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number69533
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: