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James Frederickson
NPI 1518405554 · on the registry since 2017
Practice
- Address
- 5635 Taylor Ave
Mount Pleasant, WI 53403 - Phone
- (262) 930-7616
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin