Individual
AMIAD FREDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7948 GANNON AVE, SAINT LOUIS, MO 63130-3707
(314) 856-8337
Mailing address
7948 GANNON AVE, SAINT LOUIS, MO 63130-3707
(314) 856-8337
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
Primary
—
—
207R00000X
Internal Medicine Physician
222042980056
MO
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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