MEDICARE: GREATER MINNESOTA RHEUMATOLOGY

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
1	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1043154305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER MINNESOTA RHEUMATOLOGY

Provider Business Mailing Address
First Line	:	5418 CROW WING HEIGHTS CT
Second Line	:
City	:	BRAINERD
State	:	MN
Zip	:	56401-1774
Country	:	US
Telephone Number	:	906-360-7808
Fax Number	:

Provider Business Practice Location Address
First Line	:	5418 CROW WING HEIGHTS CT
Second Line	:
City	:	BRAINERD
State	:	MN
Zip	:	56401-1774
Country	:	US
Telephone Number	:	906-360-7808
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN / OWNER
Name	:	DR. JEFFREY CHARLES EICKHOFF
Credential	:	MD
Telephone Number	:	906-360-7808

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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