MEDICARE: ROBERT FRERICHS MD

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	207L00000X	Anesthesiology Physician	MD00024815	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750386116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT FRERICHS MD

Provider Business Mailing Address
First Line	:	PO BOX 2356
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98401-2356
Country	:	US
Telephone Number	:	888-339-9504
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 N DIVISION ST
Second Line	:
City	:	AUBURN
State	:	WA
Zip	:	98001-4939
Country	:	US
Telephone Number	:	253-833-7711
Fax Number	:

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	04/24/2017

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Directions to “ ROBERT FRERICHS MD” Practice Location

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