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NPI Code Detail

MEDICARE: DR. WILLIAM ANDERSON FRAUENHEIM

MEDICARE: DR. WILLIAM ANDERSON FRAUENHEIM
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
1207RC0000XCardiovascular Disease Physician4301050096MI

General Provider Information

NPI Number : 1497746952
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM ANDERSON FRAUENHEIM
Provider Business Mailing Address
First Line : 100 MICHIGAN ST NE
Second Line : MC 845
City : GRAND RAPIDS
State : MI
Zip : 49503
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 602 MICHIGAN AVE
Second Line :
City : HOLLAND
State : MI
Zip : 49423-4918
Country : US
Telephone Number : 616-392-3824
Fax Number : 616-494-5950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2005
Last Update Date : 03/11/2021

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