Michael James Fredrick, DC

NPI #1821109299 in Ceredo, West Virginia

Provider Information

NPI Number: 1821109299
Entity Type: Individual
Name: Michael James Fredrick, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 890 B STREET
City: Ceredo
State: West Virginia
ZIP Code: 25507
Phone: (304) 453-6194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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