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Individual

FRED FERRIS DIEGMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
150 S INGLESIDE ST, SUITE2, FAIRHOPE, AL 36532-1803
(251) 990-6550
(251) 990-6552
Mailing address
150 S INGLESIDE ST, SUITE2, FAIRHOPE, AL 36532-1803
(251) 990-6550
(251) 990-6552

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
000001748
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009940422
AL
Enumeration date
05/03/2006
Last updated
07/02/2024
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