Individual
CHRISTIAN JOSEPH FREDERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 JEFFERSON HWY FL CENTER1, JEFFERSON, LA 70121-2426
(504) 842-3260
(504) 842-3193
Mailing address
4206 S GALVEZ ST, NEW ORLEANS, LA 70125-4524
(301) 222-7889
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
347615
LA
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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