Individual
MAXWELL TOD FREDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1191 WESTOWNE DR, NEENAH, WI 54956-2176
(920) 725-3152
Mailing address
1058 TIMBER RUN DR, NEENAH, WI 54956-1480
(920) 574-0484
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22501-40
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/30/2023
Last updated
01/24/2024
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