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Individual

WILLIAM J FRITSCH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2525 DE SALES AVENUE, CHATTANOOGA, TN 37404
(423) 495-2620
(423) 495-2625
Mailing address
2525 DE SALES AVENUE, CHATTANOOGA, TN 37404
(423) 495-2620
(423) 495-2625

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
115677
MO
207R00000X
Internal Medicine Physician
Primary
52586
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010065855
RAILROAD MEDICARE
01
144070
BCBS
MO
05
150941001
AR
05
1972554475
IL
05
205881006
MO
01
458559
HEALTHLINK
05
64070030
KY
Enumeration date
05/12/2006
Last updated
04/07/2015
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