Alex Fredrickson, MD is a student in an organized health care education training program in Saint Paul, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Alex Fredrickson, MD NPI is 1417691056. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1414 MARYLAND AVE E
SAINT PAUL, MN
ZIP 55106-824
Phone: (651) 793-5613
The NPI 1417691056 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/20/2022 and was last updated on 4/20/2022.