Individual provider · Type 1 NPI
O'Ann Karin Fredstrom, MD
Specialist · Jackson, WY
NPI number
1225108657
Active
Practice location
610 West Broadway, Suite L02
Jackson, WY 83001
Fax (307) 734-8900
Mailing address
P O Box 15540
Jackson, WY 83002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 5032A (WY) |
Specialist: 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.
Another provider at this address
Other specialist providers in Jackson
About NPI 1225108657
O'Ann Karin Fredstrom, MD's National Provider Identifier is 1225108657, issued on Nov 9, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jackson, WY. The record was last updated on Jul 8, 2007.