Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 56850 | MN |
NPI | 1326242371 |
---|---|
Provider Name | Dr. Eric M Deal |
First Address | Golden Valley, MN 55422-4840 |
Second Address | Burnsville, MN 55337-4480 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 15/10/2013 |