NPI 1487040309
Capstone Family Medicine LLC
Practice location
- Address
- 3122 E Meridian Park Loop, Wasilla, AK 99654-7294
- Phone
- (907) 357-9590
- Mailing address
- 6501 City West Pkwy, Eden Prairie, MN 55344-3248
Authorised official
- Name
- Wade Erickson
- Title
- MD
- Phone
- (907) 357-9590
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1487040309
- Entity type
- Organization
- NPI issued
- 7 Apr 2015
- Record last updated
- 7 Apr 2015
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.