Fred Mcrae Roberson, M.D.

NPI #1184720567 in Wabasha, Minnesota

Provider Information

NPI Number: 1184720567
Entity Type: Individual
Name: Fred Mcrae Roberson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Sep 15, 2006
Last Updated: Dec 23, 2009

Practice Location

Address: 1202 5TH GRANT BLVD
Address 2: LAKE CITY MEDICAL CENTER
City: Wabasha
State: Minnesota
ZIP Code: 55981-1042
Phone: (651) 565-4571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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