Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eric John Rosendahl, PA

Individual provider Physician Assistant · NPI 1669689071

Eric John Rosendahl, PA is a Physician Assistant in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5204 W Nokomis Pkwy
Minneapolis, MN 55417-1848
Phone: (612) 584-3689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9894 (MN)

Record details

NPI number1669689071
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESJuly 5, 2026
Mailing address5204 W Nokomis Pkwy, Minneapolis, MN 55417-1848

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