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Individual
JOSHUA FREDERICK
Active
Individual
JOSHUA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11018931A
IN
207R00000X
Internal Medicine Physician
Primary
11018931A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
06/06/2016
Last updated
03/29/2022
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