Individual
NANCY C FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 S PARK STREET, MADISON, WI 53715
(608) 287-2000
(608) 263-0575
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23049
WI
Other
Enumeration date
02/24/2006
Last updated
02/05/2009
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