Individual
DR. ALICE ERICA FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10701 EAST BLVD, 151-W, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
1908 E 123RD ST, CLEVELAND, OH 44106-1947
(216) 721-6623
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
57.005211
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57.005211
DOCTOR OF MEDICINE
OH
Enumeration date
02/01/2007
Last updated
07/18/2014
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