Individual
DR. FREDERICK J PFALZGRAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
408 LINCOLN DR, SUITE A, HERRIN, IL 62948-3790
(618) 993-1408
Mailing address
PO BOX 2963, CARBONDALE, IL 62902-2963
(618) 993-1408
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036102694
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102694
—
IL
Enumeration date
07/28/2006
Last updated
06/24/2020
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