Ericson Hand And Nerve Center, Pllc | |
6100 219th St Sw Suite 540 Mountlake Terrace WA 98043-2222 | |
(425) 776-4444 | |
(425) 328-1540 |
Full Name | Ericson Hand And Nerve Center, Pllc |
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Speciality | Clinic/center |
Location | 6100 219th St Sw, Mountlake Terrace, Washington |
Authorized Official Name and Position | William Burton Ericson (MEMBER) |
Authorized Official Contact | 4257764444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ericson Hand And Nerve Center, Pllc 6100 219th St Sw Suite 540 Mountlake Terrace WA 98043-2222 Ph: (425) 776-4444 | Ericson Hand And Nerve Center, Pllc 6100 219th St Sw Suite 540 Mountlake Terrace WA 98043-2222 Ph: (425) 776-4444 |
NPI Number | 1255531372 |
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Provider Enumeration Date | 07/18/2007 |
Last Update Date | 01/14/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255531372 | NPI | - | NPPES |
1033216833 | Other | WA | INDIVIDUAL NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | MD00044072 (Washington) | Primary |
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