Provider Demographics
NPI:1093271991
Name:DUWENHOEGGER, ERIC J (EMT - PARAMEDIC)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:J
Last Name:DUWENHOEGGER
Suffix:
Gender:M
Credentials:EMT - PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 GREENWOOD AVE N
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:MN
Mailing Address - Zip Code:56144-1226
Mailing Address - Country:US
Mailing Address - Phone:605-728-9562
Mailing Address - Fax:
Practice Address - Street 1:100 GREENWOOD AVE N
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:MN
Practice Address - Zip Code:56144-1226
Practice Address - Country:US
Practice Address - Phone:605-728-9562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)