MARILYNN E FREDERIKSEN M.D. NPI 1811996796

NPI Information

NPI: 1811996796
Provider Name: MARILYNN E FREDERIKSEN, M.D.
Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Individual

Specialization: Maternal & Fetal Medicine

PECOS Registration: Yes

Address:
945 N 12TH ST
MILWAUKEE, WI
ZIP 53233
Phone: (414) 219-7956
Get Directions

Marilynn E Frederiksen, M.D. is a maternal and fetal medicine obstetrics gynecology in Milwaukee, WI. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. Marilynn E Frederiksen, M.D. NPI is 1811996796. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

945 N 12TH ST
MILWAUKEE, WI
ZIP 53233-305
Phone: (414) 219-7956

The NPI 1811996796 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/21/2005 and was last updated on 9/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine	36058725	ILLINOIS	No
2	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine	68138	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100071887	MEDICAID	WISCONSIN
2	1627904	OTHER	ILLINOIS	BLUE CROSS/BLUE SHIELD NO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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