Russell J Fredrickson, MD
NPI #1881685261 in North Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1881685261
- Entity Type
- Individual
- Name
- Russell J Fredrickson, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Nov 3, 2005
- Last Updated
- Dec 10, 2020
Practice Location
- Address
- 723 PARK RIDGE LN
- State
- Wisconsin
- ZIP Code
- 54937-1385
- Phone
- (920) 926-8600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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