Individual
JOSEPH ANDREW FREDERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7710 MERCY ROAD, SUITE 202 - CU DEPARTMENT OF INTERNAL MEDICINE, OMAHA, NE 68124-2353
(402) 280-4392
Mailing address
7710 MERCY ROAD, SUITE 202 - CU DEPARTMENT OF INTERNAL MEDICINE, OMAHA, NE 68124-2353
(402) 280-4392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
STUDENT
NE
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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