Individual
DR. DAVID A. FREDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1247 NE MEDICAL CENTER DR, C, BEND, OR 97701-3786
(541) 318-4249
(541) 312-5230
Mailing address
1247 NE MEDICAL CENTER DR, 3, BEND, OR 97701-3786
(541) 318-4249
(541) 312-5230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD08366
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063347
—
OR
Enumeration date
01/19/2006
Last updated
07/12/2010
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