Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 2274 | TX |
N | 222Z00000X | Podiatrist | 2274 | TX |
Y | 213E00000X | Podiatrist | 987 | MN |
Y | 222Z00000X | Podiatrist | 987 | MN |
NPI | 1063857985 |
---|---|
Provider Name | Erin A Roberson |
First Address | Minneapolis, MN 55402-2610 |
Second Address | Minneapolis, MN 55402-2610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2013 |
Last Update Date | 02/03/2021 |