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

Mr. Robert Ezike, SA-C, CSA

Individual provider Surgical Assistant · NPI 1407366537

Mr. Robert Ezike, SA-C, CSA is a Surgical Assistant in Coon Rapids, Minnesota. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

310 98th Ln NW
Coon Rapids, MN 55433-5613
Phone: (443) 528-6114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X

Record details

NPI number1407366537
Entity typeIndividual (Type 1)
GenderMale
Credentials SA-C , CSA
Sole proprietorNo
NPI enumeratedOctober 3, 2017
Last updated in NPPESOctober 3, 2017
Mailing address310 98th Ln Nw, Coon Rapids, MN 55433-5613