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Individual

HELEN L FREDERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-2300
(605) 755-2310
Mailing address
PO BOX 3450, RAPID CITY, SD 57709-3450
(605) 755-2300
(605) 755-2310

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4718
SD
207VX0201X
Gynecologic Oncology Physician
4718
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6200862
SD
Enumeration date
07/05/2006
Last updated
02/28/2017
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