Individual
ABBY NICOLE FREDERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-6777
(414) 955-0069
Mailing address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-6777
(414) 955-0069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9583
AZ
208000000X
Pediatrics Physician
9583
AZ
Other
Enumeration date
04/03/2018
Last updated
04/11/2023
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