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Individual
DR. FRED WAYNE FRANKENBERG II
Active
Individual
DR. FRED WAYNE FRANKENBERG II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
267226
NY
208M00000X
Hospitalist Physician
81752
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003212153A
—
GA
05
—
266291400
—
FL
01
—
364516922
TAX IDENTIFICATION
FL
01
—
57648
BLUE CROSS BLUE SHIELD
FL
01
—
ME86861
STATE MEDICAL LICENSE
FL
Enumeration date
04/13/2006
Last updated
09/26/2023
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