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Search › Michigan › 261QP2000X

Paul Frederick

NPI 1790881290 · on the registry since 2006 · sole proprietor

Practice

Address
02957 73rd St
South Haven, MI 49090
Phone
(269) 637-9099
Fax
(269) 637-9224
Organisation at this address
Orthopedic Physical Therapy Specialist Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
261QP2000X
261QP2000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-03-20

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 Michigan