Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 52992 | WI |
N | 111NI0900X | Internist | 52992 | WI |
NPI | 1003098989 |
---|---|
Provider Name | Dr. Frederick Afari Abrokwah |
First Address | Stevens Point, WI 54481-3114 |
Second Address | Stevens Point, WI 54481-3114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2007 |
Last Update Date | 10/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
52992 | WI STATE LIC (01) | WI |