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Individual
DR. JORDAN FRASER
Active
Individual
DR. JORDAN FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74203-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2019
Last updated
10/14/2022
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