Organization
TRADITIONS OF FREDERIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW MAYO M.D. (OWNER)
(715) 497-6101
Entity
Organization
Contact information
Practice address
107 OAK ST E, FREDERIC, WI 54837-9500
(715) 327-4888
Mailing address
107 OAK ST E, FREDERIC, WI 54837-9500
(715) 327-4889
(715) 327-4890
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0013890
WI
Other
Enumeration date
02/18/2014
Last updated
06/30/2015
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