Basic Information
Provider Information
NPI: 1750304259
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GALBRAITH
FirstName: ERIN
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 45 10TH ST W
Address2:  
City: SAINT PAUL
State: MN
PostalCode: 551021062
CountryCode: US
TelephoneNumber: 6512323000
FaxNumber:  
Practice Location
Address1: 45 10TH ST W
Address2:  
City: SAINT PAUL
State: MN
PostalCode: 551021062
CountryCode: US
TelephoneNumber: 6512323000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/25/2006
LastUpdateDate: 06/04/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/04/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X4301081752MIN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000X54421MNN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RI0011X105388MNY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
207RC0000X059155GAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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