Fred Erik Braastad M.D.

NPI 1003818451 - Specialist - 174400000X

NPI Details
NPI 1003818451
Gender Male
Enumeration Date 08/15/2005
Last Updated 03/07/2016
Entity Type Individual
Active Over 12 years ago
Practice Location
7303 N KNOXVILLE AVE
PEORIA IL, 61614-2017, US
Phone (309) 691-4005
Fax (309) 691-6144
Business Location
7303 N KNOXVILLE AVE
PEORIA IL, 61614-2017, US
Phone (309) 691-4005
Fax (309) 691-6144
Toxanomy
Taxonomy Code 174400000X
License State Illinois
License Number 036-074256
Remove 1003818451 NPI Number
 

According to our database, Dr. Fred Erik Braastad M.D. NPI is 1003818451, taxonomy code is 174400000X and license number is 036-074256, license state is located at Illinois. Fred Erik Braastad M.D. physically located at 7303 N Knoxville Ave, Peoria IL, 61614-2017. NPI Number Fred Erik Braastad M.D. has the Individual type.

Sponsored links

1003818451 NPI number is provided on an as is basis without warranty of any kind. 1003818451 is maintained by the National Plan & Provider Enumeration System. The contents of Fred Erik Braastad M.D. are for informational purposes only.