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Individual

DR. BRAD K FREITAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1019 RIVER ST, SUITE 5, BELLEVILLE, WI 53508-9181
(608) 424-1840
(608) 424-1815
Mailing address
1019 RIVER ST, SUITE 5, BELLEVILLE, WI 53508-9181
(608) 424-1840
(608) 424-1815

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3786-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38932700
WI
Enumeration date
06/26/2006
Last updated
07/08/2007
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