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Individual

DR. FREDERICK FREITAG

Active
Find providers by NPI
Individual

DR. FREDERICK FREITAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
59956
WI
207Q00000X
Family Medicine Physician
N6870
TX
2084N0400X
Neurology Physician
59956-21
WI
208VP0000X
Pain Medicine Physician
Primary
59956
WI
208VP0000X
Pain Medicine Physician
N6870
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386636272
—
WI
05
—
218029101
—
TX
05
—
218029102
—
TX
01
—
8CL774
BCBSTX
TX
Enumeration date
08/17/2005
Last updated
11/14/2024
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