Individual
FRED M DRENNAN
Active
Individual
FRED M DRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00022840
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039580
LABOR & INDUSTRY
WA
01
—
1811916489
MONTANA MEDICAID
WA
01
—
3366DR
BLUE SHIELD
WA
05
—
8113987
—
WA
01
—
P00190313
RAILROAD MEDICARE
WA
01
—
US4583038
AETNA/USHC SPECIALIST
WA
Enumeration date
07/18/2006
Last updated
12/03/2012
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