David Paul Fredrickson in Pella - Family Medicine

David Paul Fredrickson - NPI 1891765913

David Paul Fredrickson is a Family Medicine in Pella, Iowa. David Paul Fredrickson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for David Paul Fredrickson is 1891765913. The last update date is 2007-10-15.

David Paul Fredrickson's current location address is 405 Monroe St, Pella, Iowa. You can contact this provider via phone number 6416283832 and fax number 6416288894. The mailing address for David Paul Fredrickson is 405 Monroe St, Pella, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name David Paul Fredrickson
Address 405 Monroe St, Pella, Iowa
Phone Number 6416283832
Fax Number 6416288894
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1891765913
Provider Enumeration Date 2006-01-23
Last Updated Date 2007-10-15

Provider Mailing Address Detail

Address 405 Monroe St
City Pella
State Iowa (IA)
Post Code 502191189
Phone Number 6416283832
Fax Number 6416288894

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 32734
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2184218 IA --
184218 IA --

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FAQs about David Paul Fredrickson

What is the unique 10-digit identification code issued to David Paul Fredrickson by the Centers for Medicare & Medicaid Services?

The David Paul Fredrickson has been assigned the NPI (National Provider Identifier) 1891765913 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of David Paul Fredrickson?

The David Paul Fredrickson is physically situated at 405 Monroe St, in the city of Pella, state of IA, with the postal code 502191189.

What is David Paul Fredrickson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for David Paul Fredrickson is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the David Paul Fredrickson receive its 1891765913 assignment from the Centers for Medicare & Medicaid Services?

The David Paul Fredrickson was assigned its 1891765913 by the Centers for Medicare & Medicaid Services on 2006-01-23.

When was the information pertaining to David Paul Fredrickson most recently updated or revised?

The details related to David Paul Fredrickson, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-15.

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