DR. Luke Richard Frederick, MD

NPI #1043507866 in Rockford, Illinois

Provider Information

NPI Number: 1043507866
Entity Type: Individual
Name: DR. Luke Richard Frederick, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: MD
Enumeration Date: Jun 30, 2011
Last Updated: Jun 21, 2016

Practice Location

Address: 351 EXECUTIVE PKWY
City: Rockford
State: Illinois
ZIP Code: 61107-5339
Phone: (815) 398-4057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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