Provider Demographics
NPI:1245572841
Name:STROH, ERIC (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:STROH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:646 E RIVER RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ANOKA
Mailing Address - State:MN
Mailing Address - Zip Code:55303-1884
Mailing Address - Country:US
Mailing Address - Phone:763-421-1410
Mailing Address - Fax:763-381-1411
Practice Address - Street 1:646 E RIVER RD
Practice Address - Street 2:SUITE 2
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303-1884
Practice Address - Country:US
Practice Address - Phone:763-421-1410
Practice Address - Fax:763-421-1411
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5801111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor