David Lee Eenigenburg, MD
Pediatrics in Coon Rapids, MN. Individual provider (NPI-1).
NPI number1770545600
StatusActive
Last updated in NPPESDec 1, 2011
Details
- NPI
- 1770545600
- Entity type
- Individual (NPI-1)
- Name
- David Lee Eenigenburg
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2006
- Last updated
- Dec 1, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 31699 | MN | Yes |
Practice location
9055 Springbrook Dr NwCoon Rapids, MN 55433-5841
Phone 763-780-9155
Mailing address
2925 Chicago AveMinneapolis, MN 55407-1321
Phone 612-262-5000
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