Individual
DR. RONALD A FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 W 86TH ST, DEPARTMENT OF MEDICAL EDUCATION, INDIANAPOLIS, IN 46260-1902
(317) 338-2281
Mailing address
945 GARDENGATE PL, APARTMENT G, INDIANAPOLIS, IN 46202-4688
(317) 224-8525
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
390200000X
IN
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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