Fredeen, Thomas S

Fredeen, Thomas S is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Fredeen, Thomas S can be contacted via phone (920) 433-3653.

Contact Information

Primary practice address
744 S Webster Ave Green Bay WI 54301-3505
Phone: (920) 433-3653
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 30391-20 Wisconsin

Profile Details

NPI number 1255370789
LBN Legal business name Fredeen, Thomas S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255370789 NPPES
Wisconsin MEDICAID 31950500

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