Individual
DR. DEWANE D. FRASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
N9691 STATE HIGHWAY 13, PHILLIPS, WI 54555-7771
(715) 339-2052
(715) 339-2014
Mailing address
N9691 STATE HIGHWAY 13, PHILLIPS, WI 54555-7771
(715) 339-2052
(715) 339-2014
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3088-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38939800
—
WI
01
—
5820107910001
BLUE CROSS & BLUE SHIELD
WI
Enumeration date
10/18/2006
Last updated
07/08/2007
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