Search › Wisconsin › 101YA0400X
Frederick Young, BA, SAC-IT
NPI 1720345093 · on the registry since 2012
Practice
- Address
- 3707 N Richards St
Milwaukee, WI 53212 - Phone
- (414) 967-7006
- Organisation at this address
- Gwendolyn Jeffro
Rivershore Clinic
River'S Shore Clinic
Express Transit Inc.
River'S Shore Clinic CtcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 60
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-04-11
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