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:
Health care specialties
Specialty | Code | License # | 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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