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Russell J Fredrickson, MD
Family Medicine Physician in North Fond Du Lac, Wisconsin
NPI 1881685261

Russell J Fredrickson is a Family Medicine Physician based in Fond Du Lac, WI. Russell J Fredrickson practices in North Fond Du Lac, WI and has the professional credentials of MD. The NPI Number for Russell J Fredrickson is 1881685261 and holds a License No. 44683 (Wisconsin).

The current practice location address for Russell J Fredrickson is 723 Park Ridge Ln, North Fond Du Lac, WI and can be reached out via phone at 920-926-8600.

Location: 723 Park Ridge Ln, North Fond Du Lac, WI, 54935-4560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881685261
Provider Name
Russell J Fredrickson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
723 Park Ridge Ln, North Fond Du Lac, WI, 54935-4560
Phone Number
920-926-8600
Fax Number
Provider Enumeration Date
11/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34301400 05 WI
P00140682 01 WI RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
723 Park Ridge Ln
City
North Fond Du Lac
State
Wisconsin
Zip
54937-1385
Phone Number
920-926-8600
Fax Number
person
Provider Business Mailing Address Details
Address
723 Park Ridge Ln
City
North Fond Du Lac
State
Wisconsin
Zip
54937-1385
Phone Number
920-926-8600
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
44683 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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