Individual
JOSEPH ANDREW FREDERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
STUDENT
NE
207RP1001X
Pulmonary Disease Physician
Primary
87441
WI
Other
Enumeration date
05/19/2020
Last updated
08/14/2026
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