MICHAEL FREDERICSON

PALO ALTO, CA
NPI1760538110
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: CA  G67096)
Additional Taxonomies2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: CA  G67096)
Enumeration Date2007-01-26
Last Update Date2024-05-06
Business Address
MICHAEL FREDERICSON MD
900 BLAKE WILBUR DR FIRST FLOOR MC 5311
PALO ALTO, CA 94304-2201
Phone number: 650-725-7139
Mailing Address
MICHAEL FREDERICSON MD
300 PASTEUR DR EDWARDS R105 MC 5341
STANFORD, CA 94305-2200
Phone number: 650-725-7139
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