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Individual

MARK FREDERICK RIEDERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13944824-1205
UT
207X00000X
Orthopaedic Surgery Physician
4301083195
MI
208000000X
Pediatrics Physician
4301083195
MI
208000000X
Pediatrics Physician
43020
TN
2080S0010X
Pediatric Sports Medicine Physician
4301083195
MI
2080S0012X
Pediatric Sleep Medicine Physician
MD462484
PA

Other

Enumeration date
06/02/2006
Last updated
12/09/2025
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