Individual
DR. SUSAN J FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8100
Mailing address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34972
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32058800
—
WI
Enumeration date
11/14/2005
Last updated
04/22/2024
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