Gordon Fredeen, D.D.S.,P.A

NPI 1790858967 · on the registry since 2006 · sole proprietor

Practice

Address: 401 East Dual Blvd
Isanti, MN 55040
Phone: (763) 444-5541
Fax: (763) 444-5542
Organisation at this address: Isanti Family Dental, P.L.L.C.
Bohnen Chiropractic Center P A
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Minnesota