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Individual

DR. CALEB JAMES FREDRICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 BARNES JEWISH HOSPITAL PLZ, DEPT EMERGENCY MED, SAINT LOUIS, MO 63110-1003
(314) 362-9123
(314) 362-0478
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-9123
(314) 362-0478

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2023004726
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200085152
MO
Enumeration date
07/06/2020
Last updated
04/17/2025
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