ALEX FREDRICKSON

SAINT PAUL, MN
NPI1417691056
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-20
Last Update Date2022-04-20
Business Address
ALEX FREDRICKSON MD
1414 MARYLAND AVE E
SAINT PAUL, MN 55106-2824
Phone number: 651-793-5613
Mailing Address
ALEX FREDRICKSON MD
1414 MARYLAND AVE E
SAINT PAUL, MN 55106-2824
Phone number: 651-772-3461