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Search › California › 101YA0400X

Michael Frederiksen, 101YA0400X

NPI 1609419951 · on the registry since 2019

Practice

Address
500 W Hospital Rd
French Camp, CA 95231
Phone
(209) 468-6857
Organisation at this address
San Joaquin General
County Of San Joaquin
County Of San Joaquin
County Of San Joaquin
County Of San Joaquin
Inferred from a shared address, not stated in the registry.
Clinicians at this address
586

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
172V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-20

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 California