TERRY LEE FREDERICK

FORT WAYNE, IN
NPI1508997248
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01024046A)
Enumeration Date2007-03-07
Last Update Date2007-07-08
Business Address
Dr. TERRY LEE FREDERICK M.D.
2505 W HAMILTON RD S
FORT WAYNE, IN 46814-9136
Phone number: 260-625-6200
Mailing Address
Dr. TERRY LEE FREDERICK M.D.
2505 W HAMILTON RD S
FORT WAYNE, IN 46814-9136
Phone number: 260-625-6200
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