Individual
FREDERICK KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-5442
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
67918
WI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
67918
WI
Other
Enumeration date
05/19/2016
Last updated
02/03/2021
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