Individual
DR. FREDERICK CRUMPACKER HUSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N MAIN ST, MOUNT VERNON, MO 65712-1004
(417) 466-4000
(417) 466-0184
Mailing address
600 N MAIN ST, MOUNT VERNON, MO 65712-1004
(417) 466-4000
(417) 466-0184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31886
MO
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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