Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 24571 | MN |
N | 208600000X | Surgeon | 24571 | MN |
Y | 2086S0102X | Surgical Critical Care | 24571 | MN |
NPI | 1093747610 |
---|---|
Provider Name | Steven Duane Eyer |
First Address | Duluth, MN 55805-1951 |
Second Address | Duluth, MN 55805-1951 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 01/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30597500 | (05) | WI |
371007600 | (05) | MN |
B52683 | (02) |