Michael Fredericson in Stanford - Sports Medicine
Michael Fredericson - NPI 1760538110
Michael Fredericson is a Sports Medicine in Stanford, California. Michael Fredericson practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Michael Fredericson is 1760538110. The last update date is 2007-07-08.
Michael Fredericson's current location address is 300 Pasteur Dr, Stanford, California. You can contact this provider via phone number 6507257139 and fax number 6504987546. The mailing address for Michael Fredericson is 300 Pasteur Dr, Stanford, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Fredericson |
|---|---|
| Address | 300 Pasteur Dr, Stanford, California |
| Phone Number | 6507257139 |
| Fax Number | 6504987546 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760538110 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 300 Pasteur Dr |
|---|---|
| City | Stanford |
| State | California (CA) |
| Post Code | 943052200 |
| Phone Number | 6507257139 |
| Fax Number | 6504987546 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2081S0010X |
| Licence No | G67096 |
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Definition: A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of |
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What is the unique identifier code issued to Michael Fredericson by the Centers for Medicare & Medicaid Services (CMS)?
The Michael Fredericson has been assigned the NPI (National Provider Identifier) 1760538110. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Michael Fredericson located?
The Michael Fredericson is located at 300 Pasteur Dr, Stanford, CA 943052200.
What is Michael Fredericson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael Fredericson is Sports Medicine, and the taxonomy code that classifies this field of practice is 2081S0010X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760538110 to Michael Fredericson?
The Michael Fredericson received its 1760538110 assignment from the Centers for Medicare & Medicaid Services on 2007-01-26.
As of what date was the information regarding Michael Fredericson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael Fredericson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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