Individual
FRED MCRAE ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1202 5TH GRANT BLVD, LAKE CITY MEDICAL CENTER, WABASHA, MN 55981-1042
(651) 565-4571
(651) 565-4818
Mailing address
17453 SUGARLOAF PKWY, ZUMBROTA, MN 55992-7288
(507) 732-5843
(507) 233-1680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33927
MN
Other
Enumeration date
09/15/2006
Last updated
12/23/2009
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