Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 23028 | WI |
Y | 2084N0402X | Child Neurologist | 23028 | WI |
NPI | 1366415986 |
---|---|
Provider Name | Frederick S Edelman |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53715 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 30/12/2020 |