Individual
MITCHELL WILLIAM FRERICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1275 N CENTER POINT RD, HIAWATHA, IA 52233-1383
(319) 743-0077
Mailing address
1275 N CENTER POINT RD, HIAWATHA, IA 52233-1383
(319) 743-0077
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS-10325
IA
390200000X
Student in an Organized Health Care Education/Training Program
RES-30595
IA
Other
Enumeration date
06/12/2020
Last updated
06/25/2025
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