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Individual

DR. DAVID PAUL FREDRICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
405 MONROE ST, PELLA, IA 50219-1189
(641) 628-3832
(641) 628-8894
Mailing address
405 MONROE ST, PELLA, IA 50219-1189
(641) 628-3832
(641) 628-8894

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32734
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0184218
IA
05
2184218
IA
Enumeration date
01/23/2006
Last updated
10/15/2007
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