Individual
DR. FREDERICK R ELLWANGER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
749 WILD OAK LN NW, CALABASH, NC 28467-1939
(910) 575-7678
(910) 575-7678
Mailing address
749 WILD OAK LN NW, CALABASH, NC 28467-1939
(910) 575-7678
(910) 575-7678
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
18944
NC
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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