Individual
ERIK GUNNAR ENQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 WELLS ST, WESTERLY, RI 02891-2922
(401) 596-0964
(401) 596-8634
Mailing address
35 WELLS ST, WESTERLY, RI 02891-2922
(401) 596-0964
(401) 596-8634
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
040289
CT
208800000X
Urology Physician
Primary
10831
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003114204
—
CT
05
—
7009864
—
RI
Enumeration date
09/26/2005
Last updated
04/25/2008
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