DR. Frederick William Church, M.D.

NPI #1871585034 in Rockford, Illinois

Provider Information

NPI Number: 1871585034
Entity Type: Individual
Name: DR. Frederick William Church, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Aug 15, 2005
Last Updated: Apr 12, 2013

Practice Location

Address: 7180 SPRING BROOK RD
Address 2: SUITE B
City: Rockford
State: Illinois
ZIP Code: 61114-6700
Phone: (815) 971-2299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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