Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 146196 | NC |
NPI | 1174763981 |
---|---|
Provider Name | Dr. Brett Andrew Fritsch |
First Address | Chapel Hill, NC 27517-7562 |
Second Address | Durham, NC 27710-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2009 |
Last Update Date | 06/03/2009 |