Individual
RAFI FREDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1551 WALL ST STE 420, SAINT CHARLES, MO 63303-3541
(636) 329-4036
(636) 206-2898
Mailing address
1551 WALL ST STE 420, SAINT CHARLES, MO 63303-3541
(636) 329-4036
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2019032397
MO
Other
Enumeration date
04/25/2014
Last updated
12/17/2021
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