| Dr Thomas S Fredeen, MD | |
|
744 S Webster Ave, Green Bay, WI 54301-3505 | |
| (920) 433-3653 | |
| Not Available |
| Full Name | Dr Thomas S Fredeen |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 744 S Webster Ave, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255370789 | NPI | - | NPPES |
| 31950500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 30391-20 (Wisconsin) | Primary |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas S Fredeen, MD 200 E Washington St, P O Box 8031, Appleton, WI 54911-5490 Ph: (800) 236-1489 | Dr Thomas S Fredeen, MD 744 S Webster Ave, Green Bay, WI 54301-3505 Ph: (920) 433-3653 |
Matthew L Snyder, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Road, Green Bay, WI 54311 Phone: 920-288-4740 Fax: 920-288-4737 | |
Dr. Charles F Dais Ii, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-8047 | |
Oliver Graf, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-498-4200 | |
Nathanial I Kieler, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3653 | |
Robert Joseph Murphy, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 Fax: 920-884-3566 | |
Omeed Hafez, Pathology Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3653 |