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Dr. O'ann Karin Fredstrom, MD
Specialist in Jackson, Wyoming
NPI 1225108657

O'ann Karin Fredstrom is a Specialist based in Jackson, WY. O'ann Karin Fredstrom practices in Jackson, WY and has the professional credentials of MD. The NPI Number for O'ann Karin Fredstrom is 1225108657 and holds a License No. 5032A (Wyoming).

The current practice location address for O'ann Karin Fredstrom is 610 West Broadway, Jackson, WY and can be reached out via phone at 307-734-8800 and via fax at 307-734-8900.

Location: 610 West Broadway, Jackson, WY, 83002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225108657
Provider Name
O'ann Karin Fredstrom
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
610 West Broadway, Jackson, WY, 83002
Phone Number
307-734-8800
Fax Number
307-734-8900
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
113880400 05 WY
institution
Provider Business Practice Location Address Details
Address
610 West Broadway
City
Jackson
State
Wyoming
Zip
83001
Phone Number
307-734-8800
Fax Number
307-734-8900
person
Provider Business Mailing Address Details
Address
610 West Broadway
City
Jackson
State
Wyoming
Zip
83001
Phone Number
307-734-8800
Fax Number
307-734-8900
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
5032A (Wyoming)
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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