Individual
DR. CAREY S FREDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 S WOODS MILL RD STE 400N, CHESTERFIELD, MO 63017-3610
(314) 317-9863
(314) 317-9806
Mailing address
PO BOX 952273, SAINT LOUIS, MO 63195-2273
(314) 432-2580
(314) 432-0223
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
R4D51
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060061518
RAILROAD MEDICARE IND #
MO
01
—
CH4229
RR MEDICARE GROUP#
MO
Enumeration date
02/09/2006
Last updated
07/21/2022
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