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NPI Code Detail

MEDICARE: ERIC HARL PA-C

MEDICARE: ERIC HARL PA-C
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
1363AM0700XMedical Physician Assistant093VI
2363AM0700XMedical Physician Assistant9564MN

General Provider Information

NPI Number : 1336297043
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC HARL PA-C
Provider Business Mailing Address
First Line : 8170 33RD AVE S # MS 21110Q
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55425-4516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1415 SAINT FRANCIS AVE
Second Line :
City : SHAKOPEE
State : MN
Zip : 55379-3374
Country : US
Telephone Number : 952-993-7750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 06/11/2026

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Directions to “ ERIC HARL PA-C” Practice Location

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