Individual provider · Type 1 NPI

Frederick John Jaecklein, MD

Vascular Surgery Physician · Memphis, TN

NPI number 1215343553 Active

Practice location

1211 Union Ave Ste 300
Memphis, TN 38104-6655

Fax (901) 201-4203

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice locations

  • 6401 Poplar Ave Ste 540, Memphis, TN 38119-4823 · (901) 478-0900

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129X63733 (TN)
Vascular Surgery Physician 2086S0129X4301095037 (MI)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1215343553

Frederick John Jaecklein, MD's National Provider Identifier is 1215343553, issued on Jul 8, 2014. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Memphis, TN. The record was last updated on Jun 6, 2025.