Individual
JUSTIN C. FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 N MAIN ST, EDGERTON, WI 53534-1613
(608) 884-9431
(608) 884-7738
Mailing address
29624 NETWORK PL, CHICAGO, IL 60673-1296
(608) 884-9431
(608) 884-7738
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56288-20
WI
261QU0200X
Urgent Care Clinic/Center
56288-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164708004
—
WI
Enumeration date
10/24/2011
Last updated
05/11/2026
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