Individual
DR. FREDERIC P. EKREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6122
(715) 839-4121
(715) 839-4460
Mailing address
900 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6122
(715) 839-4121
(715) 839-4460
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
28509
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28509
STATE LICENSE #
WI
Enumeration date
12/27/2006
Last updated
07/09/2007
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