Whalio Doctors

NPI 1225108657

O'Ann Karin Fredstrom, MD

Practitioner Specialist Jackson, WY

Practice location

Address
610 West Broadway Suite L02, Jackson, WY 83001
Phone
(307) 734-8800
Fax
(307) 734-8900
Mailing address
P O Box 15540, Jackson, WY 83002

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 5032A (WY)

Registry record

NPI
1225108657
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Nov 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.