Individual
DR. FREDRICH DENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 COOPER FOSTER PARK RD W, SUITE B, LORAIN, OH 44053-4200
(440) 989-4480
(440) 989-4484
Mailing address
1720 COOPER FOSTER PARK RD W, SUITE B, LORAIN, OH 44053-4200
(440) 989-4480
(440) 989-4484
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35045581
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
553842
—
OH
Enumeration date
08/11/2005
Last updated
10/07/2011
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