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Individual
FRED EDWARD PFENNIGER
Active
Individual
FRED EDWARD PFENNIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01079968
IN
207Q00000X
Family Medicine Physician
MD 60211363
WA
Other
Enumeration date
06/11/2010
Last updated
04/27/2018
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