Individual
FREDERICK C. PREHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
413 JEFFERSON ST, WAUSAU, WI 54403-5433
(715) 842-1270
(715) 848-2906
Mailing address
413 JEFFERSON ST, WAUSAU, WI 54403-5433
(715) 842-1270
(715) 848-2906
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2930
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770660946
BUSINESS NPI NUMBER
WI
Enumeration date
03/01/2011
Last updated
03/31/2011
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