Individual
MEGAN MARIE FREDERIKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 243-2850
Mailing address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 243-2850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A182315
IA
Other
Enumeration date
12/11/2024
Last updated
12/18/2024
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