Individual
DR. WILLIAM H FREDRIKSSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
M8037
ID
208800000X
Urology Physician
Primary
ME154478
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010153906
BS MERIDIAN
ID
01
—
000010153908
BS NAMPA
ID
01
—
76706
BC MERIDIAN
ID
05
—
805784300
—
ID
01
—
B5442
BC NAMPA
ID
01
—
P00288611
RR MEDICARE
ID
Enumeration date
10/21/2005
Last updated
01/31/2022
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