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Individual

DR. SAMUEL ISAAC FROST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4025 N 92ND ST, WAUWATOSA, WI 53222-1613
(608) 213-6295
Mailing address
4025 N 92ND ST, WAUWATOSA, WI 53222-1613
(414) 358-5437

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036147654
IL
2085R0202X
Diagnostic Radiology Physician
Primary
56969
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1861704223
WI
Enumeration date
07/13/2010
Last updated
10/11/2023
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