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NPI Code Detail

MEDICARE: DR. MICHEL-ANN ELIZABETH FRASER OD

MEDICARE: DR. MICHEL-ANN ELIZABETH FRASER OD
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
1152W00000XOptometrist2737035WI
2152W00000XOptometrist046008965IL

Other Identifiers

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

General Provider Information

NPI Number : 1437134509
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHEL-ANN ELIZABETH FRASER OD
Provider Business Mailing Address
First Line : 515 22ND AVE
Second Line :
City : MONROE
State : WI
Zip : 53566-1569
Country : US
Telephone Number : 608-324-2350
Fax Number :
Provider Business Practice Location Address
First Line : 515 22ND AVE
Second Line :
City : MONROE
State : WI
Zip : 53566-1569
Country : US
Telephone Number : 608-324-2350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 12/18/2020

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