Individual
DR. ROBERT L FREDERICKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 W 10TH ST, SEDALIA, MO 65301-2112
(660) 827-2883
(660) 827-1359
Mailing address
21048 PALMER RD, SEDALIA, MO 65301-0583
(660) 827-2883
(660) 827-1359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36281
MO
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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