Fredericson, Michael

Fredericson, Michael is an individual health care provider with primary practice located at 900 Blake Wilbur Dr First Floor Mc 5311, Palo Alto CA 94304-2201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Fredericson, Michael can be contacted via phone (650) 725-7139.

Contact Information

Primary practice address
900 Blake Wilbur Dr First Floor Mc 5311 Palo Alto CA 94304-2201
Phone: (650) 725-7139
Fax: (650) 498-7546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X G67096 California
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X G67096 California

Profile Details

NPI number 1760538110
LBN Legal business name Fredericson, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated May 6th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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