Maximilian Wilson Fremer

NPI #1144986928 in Chicago, Illinois

Provider Information

NPI Number: 1144986928
Entity Type: Individual
Name: Maximilian Wilson Fremer
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Nov 16, 2021
Last Updated: Nov 16, 2021

Practice Location

Address: 5080 N ELSTON AVE
City: Chicago
State: Illinois
ZIP Code: 60630-2459
Phone: (773) 506-3161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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