Organization
DANIEL A FREDERICK MD PA
Active
Organization
DANIEL A FREDERICK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL ANTHONY FREDERICK MD (AUTHORIZED REPRESENTATIVE/OWNER)
(972) 840-2804
Entity
Organization
Contact information
Practice address
6757 ARAPAHO RD, STE 711 PMB 335, DALLAS, TX 75248-4005
(972) 840-2804
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L6044
TX
Other
Enumeration date
11/01/2006
Last updated
01/10/2008
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