Individual provider · Type 1 NPI
Frederick Kristian Storm Iii, MD
Specialist · Merrimac, WI
NPI number
1669614798
Active
Practice location
S7698A Lucille Ln
Merrimac, WI 53561-9793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 28443-020 (WI) |
| Specialist | 174400000X | BS8237390 (WI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1669614798
Frederick Kristian Storm Iii, MD's National Provider Identifier is 1669614798, issued on Apr 6, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Merrimac, WI. The record was last updated on Apr 6, 2009.