NPI 1306023452
Capstone Family Medical
Practice location
- Address
- 3223 E Palmer Wasilla Hwy, Wasilla, AK 99654-7236
- Phone
- (952) 653-2528
- Mailing address
- 6501 City West Pkwy, Eden Prairie, MN 55344-3248
Authorised official
- Name
- Wade Erickson
- Title
- Medical Director
- Phone
- (952) 653-2528
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1306023452
- Entity type
- Organization
- NPI issued
- 30 Jan 2008
- Record last updated
- 30 Jan 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.