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NPI Code Detail

MEDICARE: DR. FREDERICK WILLIAM HOUTS M.D., M.S.

MEDICARE: DR. FREDERICK WILLIAM HOUTS M.D., M.S.
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
12084A0401XAddiction Medicine (Psychiatry & Neurology) Physician61077MN
22084A0401XAddiction Medicine (Psychiatry & Neurology) Physician7312AK
32084F0202XForensic Psychiatry Physician7312AK
42084F0202XForensic Psychiatry Physician61007MN
52084P0800XPsychiatry Physician7312AK
62084P0800XPsychiatry Physician61007MN

General Provider Information

NPI Number : 1518152172
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FREDERICK WILLIAM HOUTS M.D., M.S.
Provider Business Mailing Address
First Line : 400 4TH ST NW
Second Line :
City : FARIBAULT
State : MN
Zip : 55021-5089
Country : US
Telephone Number : 507-384-6830
Fax Number : 651-431-7757
Provider Business Practice Location Address
First Line : 400 4TH ST NW
Second Line :
City : FARIBAULT
State : MN
Zip : 55021-5089
Country : US
Telephone Number : 507-384-6830
Fax Number : 651-431-7757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2007
Last Update Date : 06/03/2025

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