Individual
ERIK SVENSEN STUBBERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS, PA-C
Contact information
Practice address
DUKE CLINIC BLDG, RM 04283, RED ZONE BASEMENT, DURHAM, NC 27710-0001
(919) 681-2425
Mailing address
DUMC BOX 3458, DURHAM, NC 27710
(919) 681-2425
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05070
NC
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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