Whalio Doctors

NPI 1720423643

William Howard Fredericks, DO

Practitioner Interventional Pain Medicine Physician Saint Paul, MN

Practice location

Address
1700 University Ave W Fl 6, Saint Paul, MN 55104
Phone
(651) 232-5321
Mailing address
1690 University Ave W STE 370, Saint Paul, MN 55104-3723

Registered specialties (3)

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 58337 (MN)
Pain Medicine (Anesthesiology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 58337 (MN)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 58337 (MN)

Registry record

NPI
1720423643
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 May 2013
Record last updated
13 Jun 2018

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.