Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 1658-Y | WY |
NPI | 1033347885 |
---|---|
Provider Name | Dr. Frederick Joseph Araas |
First Address | Sheridan, WY 82801 |
Second Address | Sheridan, WY 82801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 30/06/2009 |