Individual
LINDEN FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
849 LEATZOW RD, THREE LAKES, WI 54562-9754
(715) 360-1304
Mailing address
849 LEATZOW RD, THREE LAKES, WI 54562-9754
(715) 360-1304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128217
WI
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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