Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | D13961 | MN |
NPI | 1134403611 |
---|---|
Provider Name | Dr. Erik M Unger |
First Address | Richfield, MN 55423-6400 |
Second Address | Richfield, MN 55423-6400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2011 |
Last Update Date | 07/10/2020 |