Organization
CAPSTONE FAMILY MEDICAL
Active
Parent organization
CAPSTONE FAMILY MEDICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPSTONE FAMILY MEDICAL
Authorized official
WADE ERICKSON (MEDICAL DIRECTOR)
(952) 653-2528
Entity
Organization
Contact information
Practice address
3223 E PALMER WASILLA HWY, WASILLA, AK 99654-7236
(952) 653-2528
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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