Individual
SETH FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7410
(414) 805-7499
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7410
(414) 805-7499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2530
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902054075
—
WI
Enumeration date
09/03/2008
Last updated
10/01/2019
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