Cory Ray Ecklund in Woodbury - Family Medicine
Cory Ray Ecklund - NPI 1487746442
Cory Ray Ecklund is a Family Medicine in Woodbury, Minnesota. Cory Ray Ecklund practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Cory Ray Ecklund is 1487746442. The last update date is 2022-07-14.
Cory Ray Ecklund's current location address is 8675 Valley Creek Rd, Woodbury, Minnesota. You can contact this provider via phone number 6512413000. The mailing address for Cory Ray Ecklund is 8675 Valley Creek Rd, Woodbury, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cory Ray Ecklund |
|---|---|
| Address | 8675 Valley Creek Rd, Woodbury, Minnesota |
| Phone Number | 6512413000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1487746442 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2022-07-14 |
Provider Mailing Address Detail
| Address | 8675 Valley Creek Rd |
|---|---|
| City | Woodbury |
| State | Minnesota (MN) |
| Post Code | 551252337 |
| Phone Number | 6512413000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 51700 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5396007 | NY | -- |
Post Comment/ Review Below
What is the Cory Ray Ecklund's unique identification number?
The Cory Ray Ecklund has been assigned the NPI (National Provider Identifier) Number 1487746442 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Cory Ray Ecklund's physical address?
The Cory Ray Ecklund is physically located at 8675 Valley Creek Rd, in the city of Woodbury, MN, with the postal code 551252337.
What is Cory Ray Ecklund's specialized field of practice, and what is the corresponding taxonomy classification code?
The Cory Ray Ecklund's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Cory Ray Ecklund receive its 1487746442 assignment from the Centers for Medicare & Medicaid Services?
The Cory Ray Ecklund was assigned its 1487746442 by the Centers for Medicare & Medicaid Services on 2006-09-28.
As of what date was the information regarding Cory Ray Ecklund, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Cory Ray Ecklund, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-14.
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