Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL FREDERICSON, MD
ActivePhysical Medicine & Rehabilitation · PALO ALTO, CA
Registration Details
- NPI Number
- 1760538110
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2007 (19.275708301986 yrs)
- Last Updated
- May 6, 2024
- Licenses
-
G67096 (CA)G67096 (CA)
Practice Information
- Address
-
900 BLAKE WILBUR DRFIRST FLOOR MC 5311PALO ALTO, CA, 943042201Browse CA providers · Browse ZIP 94304
- Phone
- 6507257139
- Fax
- 6504987546
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Sports Medicine (PM&R)
Other Physical Medicine & Rehabilitation Providers in PALO ALTO, CA
| Name | Credential | NPI |
|---|---|---|
| HALEH AGDASSI | M.D. | 1477664159 |
| CINDY WUN | MD | 1902917503 |
| TOBY RATANASIRIPONG | — | 1386755999 |
| DR. KAMALA SHANKAR | M.D | 1619072428 |
| DR. WADE KINGERY | MD | 1043300742 |
| DR. REENA MODI AGRAWAL | MD | 1720257520 |
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.