Individual
DR. FREDERICK STANLEY WREFORD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7301 COLLEGE BLVD STE 110, OVERLAND PARK, KS 66210
(913) 341-6297
(913) 341-6299
Mailing address
7301 COLLEGE BLVD STE 110, OVERLAND PARK, KS 66210-1856
(913) 341-6297
(913) 341-6299
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
04-41791
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-0-73-0373-1
BCBS PIN OR CPC
MI
Enumeration date
01/11/2006
Last updated
02/28/2019
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