# FREDERICKSBURG FAMILY HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326085739
- **Authorized official:** DR. JOSEPH BERNARD PERAUD M.D. (DOCTOR)
- **Authorized official phone:** (563) 237-5316

## Contact information

- **Practice address:** 115 SCHULT RIDGE RD, FREDERICKSBURG, IA 50630-9582
- **Practice address phone:** (563) 237-5316
- **Practice address fax:** (563) 237-6337
- **Mailing address:** 115 SCHULT RIDGE RD, PO BOX 335, FREDERICKSBURG, IA 50630-9582
- **Mailing address phone:** (563) 237-5316
- **Mailing address fax:** (563) 237-6337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 01/23/2008