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Individual
ROBERT S FREDRICK
Active
Individual
ROBERT S FREDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35055622
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000031391
ANTHEM-WWK
OH
01
—
000000185513
ANTHEM-CHS
OH
01
—
01-04057
UNITED
OH
01
—
01397
PARAMOUNT
OH
01
—
01514
PARAMOUNT
OH
05
—
0690435
—
OH
01
—
106250
CARE CHOICES
OH
01
—
30096
NATIONWIDE
OH
05
—
3221935
—
MI
05
—
3424240
—
MI
01
—
344428256
PHCS
MI
01
—
4243601
AETNA
OH
01
—
6893
HPM
MI
01
—
9352225002
CIGNA
OH
Enumeration date
06/24/2005
Last updated
09/16/2013
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