Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL J FREDRICKSON, MD
ActiveRUSSELL J FREDRICKSON, MD is a Family Medicine healthcare provider located in NORTH FOND DU LAC, Wisconsin. NPI 1881685261 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · NORTH FOND DU LAC, WI
Registration Details
- NPI Number
- 1881685261
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2005 (20.772740577233 yrs)
- Last Updated
- Dec 10, 2020
- License
-
44683 (WI)
Practice Information
- Address
-
723 PARK RIDGE LNNORTH FOND DU LAC, WI, 549371385Browse WI providers · Browse ZIP 54937
- Phone
- 9209268600
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in NORTH FOND DU LAC, WI
| Name | Credential | NPI |
|---|---|---|
| DOUGLAS R FOWNES | MD | 1487645966 |
| DR. TAMARA L LYDAY | DO | 1891903415 |
| ELIZABETH DOWNING STRITTMATTER | DO | 1962795823 |
| DANNY TREVOR WALKER | DO | 1114424736 |
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.