Organization
HARBOR MEDICAL & ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRIC WILL MD (OWNER)
(262) 637-2050
Entity
Organization
Contact information
Practice address
4810 NORTHWESTERN AVE, RACINE, WI 53406-1504
(262) 637-2050
(262) 637-3910
Mailing address
4810 NORTHWESTERN AVE, RACINE, WI 53406-1504
(262) 637-2050
(262) 637-3910
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25744-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30531900
—
WI
Enumeration date
06/11/2007
Last updated
02/04/2008
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