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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDWARD FAIRFAX FROST, MD

Active

EDWARD FAIRFAX FROST, MD is a Internal Medicine healthcare provider located in WATERTOWN, Wisconsin. NPI 1184698227 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · WATERTOWN, WI

Registration Details

NPI Number
1184698227
Provider Type
Individual
Gender
Male
NPI Issued
Feb 15, 2006 (20.504295772304 yrs)
Last Updated
Jul 11, 2012
Licenses
52228 (WI)
52228 (WI)

Practice Information

Address
109 AIR PARK DR
PROHEALTH CARE MEDICAL ASSOCIATES INC.
WATERTOWN, WI, 530947400
Browse WI providers · Browse ZIP 53094
Phone
2629285100
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Pediatrics

Other Internal Medicine Providers in WATERTOWN, WI

Name Credential NPI
ALAN L. DETWILER MD 1871597211
MOHAMED H YAFAI MD 1730156431
DR. ZACHARY RICHARDSON MD 1437544863
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.