MICHAEL JAMES FREDRICK

CEREDO, WV
NPI1821109299
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: WV  189)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
MICHAEL JAMES FREDRICK DC
890 B STREET
CEREDO, WV 25507
Phone number: 304-453-6194
Mailing Address
MICHAEL JAMES FREDRICK DC
PO BOX 713 890 B STREET
CEREDO, WV 25507
Phone number: 304-453-6194