DR. Marc Frederiksen, O.D.

NPI #1770534554 in Plover, Wisconsin

Provider Information

NPI Number: 1770534554
Entity Type: Individual
Name: DR. Marc Frederiksen, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 15, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 1800 PLOVER RD
City: Plover
State: Wisconsin
ZIP Code: 54467-3978
Phone: (715) 342-9634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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