Vance Lebron Fredrickson

NPI 1073957312 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1073957312
Gender Male
Enumeration Date 04/17/2013
Last Updated 04/17/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
600 HIGHLAND AVENUE, H4/831
UW HOSPITAL AND CLINICS
MADISON WI, 53792, US
Phone (608) 263-1411
Fax
Business Location
600 HIGHLAND AVENUE, H4/831
UW HOSPITAL AND CLINICS
MADISON WI, 53792, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Vance Lebron Fredrickson NPI is 1073957312, taxonomy code is 390200000X Vance Lebron Fredrickson physically located at 600 Highland Avenue, H4/831, Madison WI, 53792. NPI Number Vance Lebron Fredrickson has the Individual type.

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1073957312 NPI number is provided on an as is basis without warranty of any kind. 1073957312 is maintained by the National Plan & Provider Enumeration System. The contents of Vance Lebron Fredrickson are for informational purposes only.