Alex Thomas Fredrickson, MD

NPI #1417691056 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1417691056
Entity Type: Individual
Name: Alex Thomas Fredrickson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Apr 20, 2022
Last Updated: Sep 23, 2025

Practice Location

Address: 1430 HIGHWAY 96 E
City: White Bear Lake
State: Minnesota
ZIP Code: 55110-3653
Phone: (651) 653-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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