| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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