Individual
FREDERICK P JAECKLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1414 W. FAIR AVENUE, STE 201, MARQUETTE, MI 49855
(906) 225-4500
(906) 225-3919
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(916) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
049842
MI
207RH0000X
Hematology (Internal Medicine) Physician
049842
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110030846
RAILROAD MEDICARE
MI
05
—
3138366
—
MI
01
—
381358036011
TRICARE
MI
Enumeration date
11/17/2005
Last updated
06/04/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us