Individual
DR. MICHEL-ANN ELIZABETH FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2350
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2350
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046008965
IL
152W00000X
Optometrist
Primary
2737035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008965
—
IL
Enumeration date
12/13/2005
Last updated
12/18/2020
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