Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 15450 | WI |
NPI | 1649713959 |
---|---|
Provider Name | William Stephen Freier |
First Address | Holmen, WI 54636-9410 |
Second Address | La Crosse, WI 54601-7026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2016 |
Last Update Date | 18/11/2016 |