Harbor Medical & Associates Sc

NPI 1457554990 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1457554990
Enumeration Date 06/11/2007
Last Updated 02/04/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FREDRIC FREDRIC
Position OWNER
Phone (262) 637-2050
Fax (262) 637-3910
Practice Location
4810 NORTHWESTERN AVE
RACINE WI, 53406-1504, US
Phone (262) 637-2050
Fax (262) 637-3910
Business Location
4810 NORTHWESTERN AVE
RACINE WI, 53406-1504, US
Phone (262) 637-2050
Fax (262) 637-3910
Toxanomy
Taxonomy Code 2084P0800X
License State Wisconsin
License Number 25744-020
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According to our database, Harbor Medical & Associates Sc NPI is 1457554990, taxonomy code is 2084P0800X and license number is 25744-020, license state is located at Wisconsin. Harbor Medical & Associates Sc physically located at 4810 Northwestern Ave, Racine WI, 53406-1504. NPI Number 1033115704 has the healthcare provider type.

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1457554990 NPI number is provided on an as is basis without warranty of any kind. 1457554990 is maintained by the National Plan & Provider Enumeration System. The contents of Harbor Medical & Associates Sc are for informational purposes only.