M. Teresa C. Fraser M.D.

NPI 1093928566 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1093928566
Gender Female
Enumeration Date 05/08/2007
Last Updated 08/09/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
1701 W. GARDEN STREET
PEORIA IL, 61605-3531, US
Phone (309) 680-7600
Fax (309) 680-7637
Business Location
1701 W. GARDEN STREET
HEARTLAND COMMUNITY HEALTH CLINIC
PEORIA IL, 61605-3531, US
Phone (309) 680-7600
Fax (309) 676-5506
Toxanomy
Taxonomy Code 2084N0400X
License State Illinois
License Number 036-088897
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According to our database, Dr. M. Teresa C. Fraser M.D. NPI is 1093928566, taxonomy code is 2084N0400X and license number is 036-088897, license state is located at Illinois. M. Teresa C. Fraser M.D. physically located at 1701 W. Garden Street, Peoria IL, 61605-3531. NPI Number M. Teresa C. Fraser M.D. has the Individual type.

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1093928566 NPI number is provided on an as is basis without warranty of any kind. 1093928566 is maintained by the National Plan & Provider Enumeration System. The contents of M. Teresa C. Fraser M.D. are for informational purposes only.