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Individual

DR. FREDERICK L ZWARTVERWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3001 DAGGETT AVE, KLAMATH FALLS, OR 97601-1114
(541) 851-4800
(541) 851-4801
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OR11378
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269861
OR
Enumeration date
07/09/2006
Last updated
04/18/2013
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