Individual
DR. FREDERICK W AMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 S PRESTON ST, RANSON, WV 25438-1631
(304) 535-6343
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2012
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1810149000
—
WV
Enumeration date
03/20/2006
Last updated
10/22/2008
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