Individual
MR. MARK WAYNE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RKT
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
15052 HELM RD, TOMAH, WI 54660-6837
(608) 372-0797
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1168
IL
Other
Enumeration date
07/02/2006
Last updated
07/08/2007
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