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Individual

MEGHAN SUE FRASER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1601 LAWRENCE DR STE 100, DE PERE, WI 54115-3931
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17286-24
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100327633
WI
Enumeration date
06/02/2025
Last updated
07/10/2025
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