MEDICARE: ERIC RISBERG ATC

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	2255A2300X	Athletic Trainer	2300	MN

General Provider Information

NPI Number	:	1427445923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC RISBERG ATC

Provider Business Mailing Address
First Line	:	2634 MADISON ST NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55418-2828
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4010 W 65TH ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55435-1706
Country	:	US
Telephone Number	:	952-456-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2015
Last Update Date	:	04/22/2015

Similar Medicare Providers

1518960095 — DR. HANNELORE AUGUST BRUCKER M.D.
Practice Location Address:

4010 W 65TH ST , STE 221
MINNEAPOLIS, MN
55435-1706

Practice Phone: 952-926-7630
Practice Fax: 952-926-2116

1174070411 — FAB 5 TAXI LLC
Practice Location Address:

712 40TH AVE N , AVE NORTH
MINNEAPOLIS, MN
55412-1706

Practice Phone: 612-298-5324
Practice Fax:

1194446856 — PHUONG CHI NAM LE PHARMD
Practice Location Address:

929 PORTLAND AVE , SUITE 1706
MINNEAPOLIS, MN
55404-1266

Practice Phone: 612-471-6596
Practice Fax:

1154541035 — CHRISTIE SUE HEIKES MD
Practice Location Address:

4010 W 65TH ST
EDINA, MN
55435-1706

Practice Phone: 952-456-7000
Practice Fax: 952-456-7001

1376549436 — MRS. ANGIE RAE SWANSON M.P.T.
Practice Location Address:

4010 W 65TH ST
EDINA, MN
55435-1706

Practice Phone: 952-456-7004
Practice Fax: 952-456-7598

1972588879 — MRS. KARI K LARSON PA-C
Practice Location Address:

4010 W 65TH ST
EDINA, MN
55435-1706

Practice Phone: 952-456-7000
Practice Fax: 952-456-7001

Directions to “ ERIC RISBERG ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.