MEDICARE: DR. ERIK JOHN STORLIE 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
1	207R00000X	Internal Medicine Physician	44401	MN

General Provider Information

NPI Number	:	1770565194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIK JOHN STORLIE M.D.

Provider Business Mailing Address
First Line	:	2925 CHICAGO AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1321
Country	:	US
Telephone Number	:	612-262-1166
Fax Number	:

Provider Business Practice Location Address
First Line	:	ANW HOSPITALISTS SERVICE - AMC; MAIL ROUTE 11326
Second Line	:	800 E. 28TH STREET
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-3799
Country	:	US
Telephone Number	:	612-863-7560
Fax Number	:	612-863-3809

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

Provider Enumeration Date	:	11/20/2005
Last Update Date	:	11/10/2020

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