Individual
JOSHUA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1735 SOUTH MADISON RD, BELOIT, WI 53511-1972
(317) 338-7510
(317) 338-7494
Mailing address
1969 WEST HART RD, BELOIT, WI 53511
(608) 364-5689
(608) 364-5452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11018931A
IN
207R00000X
Internal Medicine Physician
Primary
11018931A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2016
Last updated
03/29/2022
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