ERIC FREDELL

CHARLESTON, WV
NPI1386007177
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WV  29748)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-03-30
Last Update Date2021-08-30
Business Address
ERIC FREDELL M.D.
3200 MACCORKLE AVE SE STE B-16
CHARLESTON, WV 25304-1227
Phone number: 304-388-5848
Mailing Address
ERIC FREDELL M.D.
3845 24TH AVE S
MINNEAPOLIS, MN 55406-3005
Phone number: 612-876-5674