Individual
DR. FREDERICK RICHARD FERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 WESTERN AVENUE, FARIBAULT, MN 55021
(507) 333-2028
Mailing address
200 WESTERN AVENUE, FAIRBAULT, MN 55021-3504
(507) 333-2028
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25179
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
560588100
—
MN
Enumeration date
07/28/2006
Last updated
09/28/2012
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