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Individual

BRIAN J FREDERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1221 WHIPPLE ST, EAU CLAIRE, WI 54703-5200
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
61029-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992025605
WI
Enumeration date
06/03/2010
Last updated
10/04/2022
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