Individual
JOSHUA FREDERIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 N. KANSAS, WCGME, WICHITA, KS 67214
(316) 268-5000
Mailing address
1010 N. KANSAS, WCGME, WICHITA, KS 67214
(316) 268-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7492
KS
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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