Individual
DANN J FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5400 N OAK TRFY, SUITE 200, KANSAS CITY, MO 64118-4688
(816) 453-0900
(816) 453-6271
Mailing address
5400 N OAK TRFY, SUITE 200, KANSAS CITY, MO 64118-4688
(816) 453-0900
(816) 453-6271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
114303
MO
Other
Enumeration date
07/05/2005
Last updated
09/26/2011
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