Organization
CAPSTONE FAMILY MEDICINE LLC
Active
Parent organization
CAPSTONE FAMILY MEDICINE LLC
Other names
Wade Erickson MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPSTONE FAMILY MEDICINE LLC
Authorized official
WADE ERICKSON MD (MD)
(907) 357-9590
Entity
Organization
Contact information
Practice address
3122 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7294
(907) 357-9590
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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