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Individual

DR. KRISTIANNA MARIE FREDENBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., PHD

Contact information

Practice address
1600 SW ARCHER RD, POB 100275, GAINESVILLE, FL 32610-3003
(352) 265-0111
Mailing address
5045 SW 78TH WAY, GAINESVILLE, FL 32608-7419
(352) 375-3055

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
#TRN13520
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014760000
FL
Enumeration date
05/13/2009
Last updated
07/16/2015
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