Individual
LUTHER A FRERICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3021 GRIFFIN AVE, ENUMCLAW, WA 98022-2369
(360) 825-6511
(360) 825-6536
Mailing address
3021 GRIFFIN AVE, ENUMCLAW, WA 98022-2369
(360) 825-6511
(360) 825-6536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00016432
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126690
STATE L&I
WA
05
—
1637206
—
WA
01
—
80138552
MEDICARE RAILROAD
WA
01
—
8929990
STATE CRIME VICTIMS
WA
Enumeration date
07/31/2006
Last updated
11/16/2010
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