Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FREDERICK KRISTIAN STORM III, M.D.
Active Sole ProprietorDR. FREDERICK KRISTIAN STORM III, M.D. is a Specialist healthcare provider located in MERRIMAC, Wisconsin. NPI 1669614798 is currently active in the NPPES registry. Verify at CMS.
Specialist · MERRIMAC, WI
Registration Details
- NPI Number
- 1669614798
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2009 (17.391036806681 yrs)
- Last Updated
- Apr 6, 2009
- Licenses
-
28443-020 (WI)BS8237390 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
S7698A LUCILLE LNMERRIMAC, WI, 535619793Browse WI providers · Browse ZIP 53561
- Phone
- 6084932767
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
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.