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Dr. Vincent Lucas David Fryer, MD
General Practice Physician in Suamico, Wisconsin
NPI 1073017265

Vincent Lucas David Fryer is a General Practice Physician based in Suamico, WI. Vincent Lucas David Fryer practices in Suamico, WI and has the professional credentials of MD. The NPI Number for Vincent Lucas David Fryer is 1073017265 and holds a License No. 71760-20 (Wisconsin).

The current practice location address for Vincent Lucas David Fryer is 2329 Sunny Ln Apt C, Suamico, WI and can be reached out via phone at 801-554-4882.

Location: 2329 Sunny Ln Apt C, Suamico, WI, 54313-7821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073017265
Provider Name
Vincent Lucas David Fryer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2329 Sunny Ln Apt C, Suamico, WI, 54313-7821
Phone Number
801-554-4882
Fax Number
Provider Enumeration Date
03/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2329 Sunny Ln Apt C
City
Suamico
State
Wisconsin
Zip
54313-7821
Phone Number
801-554-4882
Fax Number
person
Provider Business Mailing Address Details
Address
2329 Sunny Ln Apt C
City
Suamico
State
Wisconsin
Zip
54313-7821
Phone Number
801-554-4882
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
71760-20 (Wisconsin)
Definition
Definition to come...
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