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Frederick Karl Gregorius, MD
Specialist in Stockton, California
NPI 1013936608

Frederick Karl Gregorius is a Specialist based in Stockton, CA. Frederick Karl Gregorius practices in Stockton, CA and has the professional credentials of MD. The NPI Number for Frederick Karl Gregorius is 1013936608 and holds a License No. G15246 (California).

The current practice location address for Frederick Karl Gregorius is 2209 N California St, Stockton, CA and can be reached out via phone at 209-943-0305 and via fax at 209-943-0210.

Location: 2209 N California St, Stockton, CA, 95204-5503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013936608
Provider Name
Frederick Karl Gregorius
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2209 N California St, Stockton, CA, 95204-5503
Phone Number
209-943-0305
Fax Number
209-943-0210
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
94-2650763 01 CA TAX ID
institution
Provider Business Practice Location Address Details
Address
2209 N California St
City
Stockton
State
California
Zip
95204-5503
Phone Number
209-943-0305
Fax Number
209-943-0210
person
Provider Business Mailing Address Details
Address
2209 N California St
City
Stockton
State
California
Zip
95204-5503
Phone Number
209-943-0305
Fax Number
209-943-0210
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G15246 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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