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Contact Information

WADE ERICKSON, MD
3066 E MERIDIAN PARK LOOP
WASILLA, AK99654-7299
 Phone: 907-357-9593
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for WADE ERICKSON · (Male)

NPI # 1245278183
Status Active
Credentials MD
Entity Individual
Enumeration date 06/03/2006
Last updated 10/11/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 4593
  • AK Medicaid MD45932
Hospital affiliation(s)
  • MAT-SU REGIONAL MEDICAL CENTER - (Acute Care)
    2500 SOUTH WOODWORTH LOOP
    PALMER, AK 99645
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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