Provider Demographics
NPI:1285784892
Name:WETTER, ERIK MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:MICHAEL
Last Name:WETTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4080 GARLAND LN N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-3354
Mailing Address - Country:US
Mailing Address - Phone:763-567-1506
Mailing Address - Fax:
Practice Address - Street 1:8290 UNIVERSITY AVE NE
Practice Address - Street 2:SUITE #200
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-1847
Practice Address - Country:US
Practice Address - Phone:763-786-9543
Practice Address - Fax:763-786-3320
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN50468207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery