Frederick C. Prehn Sole Prop

NPI 1770660946 - Dentist - 1223G0001X

NPI Details
NPI 1770660946
Enumeration Date 11/01/2006
Last Updated 04/07/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FREDERICK CARL FREDERICK
Position OWNER OF PREHEN DENTAL OFFICE
Phone (715) 842-1270
Fax (715) 848-2906
Practice Location
413 JEFFERSON STREET
WAUSAU WI, 54403, US
Phone (715) 842-1270
Fax (715) 848-2906
Business Location
413 JEFFERSON STREET
WAUSAU WI, 54403, US
Phone (715) 842-1270
Fax (715) 848-2906
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number 2930015
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According to our database, Frederick C. Prehn Sole Prop NPI is 1770660946, taxonomy code is 1223G0001X and license number is 2930015, license state is located at Wisconsin. Frederick C. Prehn Sole Prop physically located at 413 Jefferson Street, Wausau WI, 54403. NPI Number 1033115704 has the healthcare provider type.

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1770660946 NPI number is provided on an as is basis without warranty of any kind. 1770660946 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick C. Prehn Sole Prop are for informational purposes only.