Erik Gudmundson, ND
Individual provider Active NPI Naturopath · Lakeville, MN
NPI 1891118360 · NPPES record last updated Feb 3, 2014
Key facts
- NPI
- 1891118360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 1051 (MN)
- Practice address
- 10293 209TH St W
Lakeville, MN 55044-9735 - Phone
- (716) 562-8872
- NPI assigned
- Feb 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1051 | MN | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1051 | MN | Yes |
Addresses
Primary practice location
10293 209TH St W
Lakeville, MN 55044-9735
Mailing address
10293 209TH St W
Lakeville, MN 55044-9735
Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.