Provider Demographics
NPI:1558532150
Name:BRAND, ERIK STANTON (MD, MSC)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:STANTON
Last Name:BRAND
Suffix:
Gender:M
Credentials:MD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3382
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98009-3382
Mailing Address - Country:US
Mailing Address - Phone:425-230-3131
Mailing Address - Fax:425-214-1252
Practice Address - Street 1:13353 NE BEL RED RD STE 102
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2329
Practice Address - Country:US
Practice Address - Phone:425-230-3131
Practice Address - Fax:425-214-1252
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-22
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD602897572081S0010X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation