Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIFFANY ANN FREDERICKSON
Active Sole ProprietorGeneral Surgery · RAPID CITY, SD
Registration Details
- NPI Number
- 1265669956
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2009 (16.882037679724 yrs)
- Last Updated
- Sep 15, 2015
- Licenses
-
R-8763 (IA)TD151001 (ME)9138 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8412 KITT PEAK RDRAPID CITY, SD, 577029512Browse SD providers · Browse ZIP 57702
- Phone
- 5152018982
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
- Additional Specialty
- General Surgery
Other General Surgery Providers in RAPID CITY, SD
| Name | Credential | NPI |
|---|---|---|
| SHANNON ALEXANDRIA WILLIAMS | MD | 1477544930 |
| JOHN BEDINGFIELD | — | 1417908864 |
| DAVID GODBE | — | 1942248760 |
| DAVID D SLAMA | MD | 1427098656 |
| MICHAEL STATZ | — | 1174550628 |
| WESLEY L SUFFICOOL | DO | 1043309891 |
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.