Individual
CURTIS CARL FREDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15535 LANDINGS AVE., SPIRIT LAKE, IA 51360
(952) 412-4192
Mailing address
15535 LANDINGS AVE., SPIRIT LAKE, IA 51360
(952) 412-4192
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18252
IA
Other
Enumeration date
02/01/2012
Last updated
10/21/2015
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