MEDICARE: DR. STEVEN FRYDMAN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	382-025	WI

General Provider Information

NPI Number	:	1457301228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN FRYDMAN DPM

Provider Business Mailing Address
First Line	:	7929 N 76TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53223-3947
Country	:	US
Telephone Number	:	414-371-1000
Fax Number	:	414-371-1256

Provider Business Practice Location Address
First Line	:	7929 N 76TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53223-3947
Country	:	US
Telephone Number	:	414-371-1000
Fax Number	:	414-371-1256

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	10/24/2007

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