DR. Timothy J Frederiksen, OD

NPI #1649262478 in Hayward, Wisconsin

Provider Information

NPI Number: 1649262478
Entity Type: Individual
Name: DR. Timothy J Frederiksen, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 18, 2005
Last Updated: Jan 9, 2020

Practice Location

Address: 15569 RAILROAD ST
Address 2: STE 301
City: Hayward
State: Wisconsin
ZIP Code: 54843-5707
Phone: (715) 634-8616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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