Individual
MR. RICHARD LEE FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4190 LOBERG AVE, DULUTH, MN 55811-2652
(218) 249-5700
(218) 249-4666
Mailing address
4190 LOBERG AVE, DULUTH, MN 55811-2652
(218) 249-5700
(218) 249-4666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6433
MN
363LF0000X
Family Nurse Practitioner
851-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43857200
—
WI
Enumeration date
05/18/2006
Last updated
01/19/2021
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