Individual
JON M FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 PINE RIDGE BLVD, STE 211, WAUSAU, WI 54401-4123
(715) 845-5505
(715) 848-2884
Mailing address
425 PINE RIDGE BLVD, STE 211, WAUSAU, WI 54401-4123
(715) 845-5505
(715) 848-2884
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN614643
PA
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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