Provider Demographics
NPI:1578515854
Name:STROEMER, ERIK SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:SCOTT
Last Name:STROEMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:710 COMMERCE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-4925
Mailing Address - Country:US
Mailing Address - Phone:651-968-5201
Mailing Address - Fax:651-968-5904
Practice Address - Street 1:2620 EAGAN WOODS DR STE 100
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-1138
Practice Address - Country:US
Practice Address - Phone:651-968-5201
Practice Address - Fax:651-968-5904
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN48407207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0902422OtherMEDICA, FARIBAULT MN
MN0902423OtherMEDICA, MANKATO MN
MN983181046762OtherPREFERRED ONE
MN516699300Medicaid
MN183446OtherUCAREMN
MN300022143815OtherPRIMEWEST HEALTH SYSTEM
MN410940705OtherMMSI
MN410940705A030OtherTRICARE
MNI54021Medicare UPIN
MN200002458Medicare ID - Type UnspecifiedMEDICARE
MN2443236OtherAMERICA'S PPO