Provider Demographics
NPI:1255360061
Name:ERDMAN, FRANKIE WENDELL (MD)
Entity type:Individual
Prefix:
First Name:FRANKIE
Middle Name:WENDELL
Last Name:ERDMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12125 WOODCREST EXECUTIVE DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-5001
Mailing Address - Country:US
Mailing Address - Phone:314-317-0600
Mailing Address - Fax:314-317-0606
Practice Address - Street 1:5 MOBILE INFIRMARY CIR
Practice Address - Street 2:POB SUITE 308
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3513
Practice Address - Country:US
Practice Address - Phone:251-435-7223
Practice Address - Fax:251-435-7282
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2020-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALMD.22061208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL131833Medicaid
ALG81627Medicare UPIN
AL102I087352Medicare PIN