MEDICARE: JOSHUA PAUL FRITZ DC

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	111N00000X	Chiropractor	4761-12	WI

General Provider Information

NPI Number	:	1487932331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA PAUL FRITZ DC

Provider Business Mailing Address
First Line	:	3116 S KINNICKINNIC AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-2936
Country	:	US
Telephone Number	:	414-295-6045
Fax Number	:

Provider Business Practice Location Address
First Line	:	3116 S KINNICKINNIC AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-2936
Country	:	US
Telephone Number	:	414-295-6045
Fax Number	:

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

Provider Enumeration Date	:	07/26/2011
Last Update Date	:	10/21/2020

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Directions to “ JOSHUA PAUL FRITZ DC” Practice Location

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