Individual
DR. FREDERICK FREITAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-3444
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-3444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
59956
WI
207Q00000X
Family Medicine Physician
N6870
TX
2084N0400X
Neurology Physician
59956-21
WI
208VP0000X
Pain Medicine Physician
Primary
59956
WI
208VP0000X
Pain Medicine Physician
N6870
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386636272
—
WI
05
—
218029101
—
TX
05
—
218029102
—
TX
01
—
8CL774
BCBSTX
TX
Enumeration date
08/17/2005
Last updated
11/14/2024
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