Mark Fredrickson, MD

NPI 1356426712 · on the registry since 2006

Practice

Address: 3299 Clear Vista Ct Ne
Suite C
Grand Rapids, MI 49525
Phone: (616) 361-1200
Fax: (616) 361-2198
Organisation at this address: Benton Family Dental Pc
Riverwood Family Medicine Pc
Hamilton Pediatric Dentistry Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-10-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan