Individual
DR. LEE AUSTIN FREDRICKSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2094 E STATE ST STE D, SALEM, OH 44460-4409
(330) 332-7220
(234) 542-6148
Mailing address
2094 E STATE ST STE D, SALEM, OH 44460-4409
(330) 332-7220
(234) 542-6148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-130790
OH
Other
Enumeration date
04/03/2014
Last updated
09/19/2024
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