Individual
ERIC THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD00026931
WA
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
MD00026931
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184640161
—
WA
01
—
56417
L&I
WA
01
—
P01256402
RR MEDICARE
WA
Enumeration date
07/14/2006
Last updated
03/21/2014
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