Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. O'ANN KARIN FREDSTROM, MD
Active Sole ProprietorDR. O'ANN KARIN FREDSTROM, MD is a Specialist healthcare provider located in JACKSON, Wyoming. NPI 1225108657 is currently active in the NPPES registry. Verify at CMS.
Specialist · JACKSON, WY
Registration Details
- NPI Number
- 1225108657
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 9, 2006 (19.618678687158 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5032A (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
610 WEST BROADWAYSUITE L02JACKSON, WY, 83001Browse WY providers · Browse ZIP 83001
- Phone
- 3077348800
- Fax
- 3077348900
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in JACKSON, WY
| Name | Credential | NPI |
|---|---|---|
| DR. STUART RONALD SUGARMAN | MD | 1407926835 |
| FRANCIS WILLIAM NICHOLSON | PEER SPECIALIST | 1497070742 |
| DR. PAUL EDWARD RUTTLE | M.D. | 1922545896 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.