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Contact Information

EDUARDO EHRENWALD, MD
407 E 3RD ST
DULUTH, MN55805-1950
 Phone: 218-786-4897
 Fax: 218-786-4980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for EDUARDO EHRENWALD · (Male)

NPI Number 1710930110
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2006
Last updated 06/22/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 48355
  • IA Medicaid 1716951
  • MN Medicaid 087686100
  • WI Medicaid 34838300
  • MN Other 2437705 AMERICA'S PPO
  • MN Other 95G99EH BLUE CROSS BLUE SHIELD
  • MN Other HP60559 HEALTHPARTNERS
  • MN Other 1604022 MEDICA
  • MN Other 1046525 PREFERRED ONE
  • MN Other P00313965 RAILROAD MEDICARE MN
  • MN Other 138133 UCARE
  • MN Other 2437705 WEA TRUST
Hospital affiliation(s)
  • ESSENTIA HEALTH DULUTH - (Acute Care)
    502 EAST SECOND STREET
    DULUTH, MN 55805
  • ESSENTIA HEALTH ST MARY'S MEDICAL CENTER - (Acute Care)
    407 EAST THIRD STREET
    DULUTH, MN 55805
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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