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Individual

DAVID AUGUST FREDENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508
(907) 563-2662
Mailing address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
133704
AK
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/31/2013
Last updated
08/21/2018
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