Individual
JOHN DOUGLAS FRAZEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
311 JEFFERSON AVENUE, SPARTA, WI 54656-2113
(608) 269-5008
(608) 269-5018
Mailing address
8504 COUNTY HWY BC, SPARTA, WI 54656
(608) 269-4290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5002093
WI
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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