Individual
DR. JON STUART FREDLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
742 RIVER LN, ANOKA, MN 55303-2808
(763) 421-6327
Mailing address
742 RIVER LN, ANOKA, MN 55303-2808
(763) 421-6327
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16949
MN
Other
Enumeration date
06/02/2009
Last updated
03/07/2023
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