Individual
DR. FREDERICK IVAN ENDE
Active
Individual
DR. FREDERICK IVAN ENDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BC83897
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005861861
—
VA
01
—
250896
ANTHEM BLUE CROSS
VA
Enumeration date
09/22/2006
Last updated
04/26/2010
Update your record
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