Unknown Individual – Internal Medicine Physician, NPI 1316005457
Internal Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
605, West Main Street, Fredericktown, Madison County, Missouri, 63645, United States
FREDERICKTOWN, MO 636451111
Phone: (573) 783-2552
Fax: (573) 783-2614
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63645)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Pediatric Medicine | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| G A S T R O E N T E R O L O G Y | MO | |
| Emergency Medicine | MO | |
| Internal Medicine, Rheumatology | MO | |
| Family Practice | MO | |
| - | MO |
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