Individual
DR. NICHOLAS W FREDERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 PATIENTS FIRST DRIVE SUITE 3300, WASHINGTON, MO 63090
(636) 239-7344
(636) 239-9436
Mailing address
901 PATIENTS FIRST DRIVE SUITE 3300, WASHINGTON, MO 63090
(636) 239-7344
(636) 239-9436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R-8906
IA
207RG0100X
Gastroenterology Physician
Primary
2016012330
MO
Other
Enumeration date
05/27/2010
Last updated
01/14/2020
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