Provider Demographics
NPI:1639155138
Name:ENGLISH, ERIC JOHN (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:JOHN
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:14001 RIDGEDALE DR
Mailing Address - Street 2:STE 200
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-1753
Mailing Address - Country:US
Mailing Address - Phone:952-249-2031
Mailing Address - Fax:952-249-2099
Practice Address - Street 1:8650 HUDSON BLVD N
Practice Address - Street 2:#325
Practice Address - City:LAKE ELMO
Practice Address - State:MN
Practice Address - Zip Code:55042-9747
Practice Address - Country:US
Practice Address - Phone:651-265-6745
Practice Address - Fax:651-714-8255
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2012-04-13
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Provider Licenses
StateLicense IDTaxonomies
MN47902207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34345800Medicaid
MN755010300Medicaid
WI000971520Medicare ID - Type Unspecified
WI34345800Medicaid