Individual
FREDERICK JOHN JAECKLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1211 UNION AVE STE 300, MEMPHIS, TN 38104-6655
(901) 272-6018
(901) 201-4203
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
4301095037
MI
2086S0129X
Vascular Surgery Physician
Primary
63733
TN
Other
Enumeration date
07/08/2014
Last updated
06/06/2025
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