Provider Demographics
NPI:1134655830
Name:WOELBER, ERIK
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:WOELBER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 F ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-4346
Mailing Address - Country:US
Mailing Address - Phone:907-980-2451
Mailing Address - Fax:
Practice Address - Street 1:4015 LAKE OTIS PKWY STE 201
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5235
Practice Address - Country:US
Practice Address - Phone:907-771-3500
Practice Address - Fax:907-771-3550
Is Sole Proprietor?:No
Enumeration Date:2017-05-02
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK196972207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery