EDWARD FAIRFAX FROST

WATERTOWN, WI
NPI1184698227
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WI  52228)
Additional Taxonomies208000000X Pediatrics
(Licence: WI  52228)
Enumeration Date2006-02-15
Last Update Date2012-07-11
Business Address
-- EDWARD FAIRFAX FROST MD
109 AIR PARK DR PROHEALTH CARE MEDICAL ASSOCIATES INC.
WATERTOWN, WI 53094-7400
Phone number: 262-928-5100
Mailing Address
-- EDWARD FAIRFAX FROST MD
109 AIR PARK DR PROHEALTH CARE MEDICAL ASSOCIATES INC.
WATERTOWN, WI 53094-7400
Phone number: 262-928-5100