Individual
DR. FREDERIC B WILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 DEPUTY DEAN MIERA DR SW, ALBUQUERQUE, NM 87151-1504
(505) 839-8700
Mailing address
100 DEPUTY DEAN MIERA DR SW, ALBUQUERQUE, NM 87151-1000
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
AW1297894 XW1297894
WI
2084P0800X
Psychiatry Physician
25744-020
WI
2084P0800X
Psychiatry Physician
Primary
MD2023-1273
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30531900
—
WI
Enumeration date
12/04/2006
Last updated
02/28/2024
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