ALEX THOMAS FREDRICKSON

WHITE BEAR LAKE, MN
NPI1417691056
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  77098)
Enumeration Date2022-04-20
Last Update Date2025-09-23
Business Address
ALEX THOMAS FREDRICKSON MD
1430 HIGHWAY 96 E
WHITE BEAR LAKE, MN 55110-3653
Phone number: 651-653-2100
Mailing Address
ALEX THOMAS FREDRICKSON MD
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number: