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Organization
FREDERICKSBURG FAMILY HEALTH CLINIC
Active
Organization
FREDERICKSBURG FAMILY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH BERNARD PERAUD M.D. (DOCTOR)
(563) 237-5316
Entity
Organization
Contact information
Practice address
115 SCHULT RIDGE RD, FREDERICKSBURG, IA 50630-9582
(563) 237-5316
(563) 237-6337
Mailing address
115 SCHULT RIDGE RD, PO BOX 335, FREDERICKSBURG, IA 50630-9582
(563) 237-5316
(563) 237-6337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/02/2006
Last updated
01/23/2008
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