Individual
JOHN WILLIAM FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4168 HIGHLANDS CIR, BIRMINGHAM, AL 35213-2800
(256) 783-4990
Mailing address
4168 HIGHLANDS CIR, BIRMINGHAM, AL 35213-2800
(256) 783-4990
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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