Individual
MICHAEL FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 N CLEMATIS ST, WEST PALM BEACH, FL 33401-5554
(561) 672-0212
Mailing address
333 HUGO ST, SAN FRANCISCO, CA 94122-2605
(805) 264-2514
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME127493
FL
Other
Enumeration date
04/08/2010
Last updated
03/12/2020
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