TIFFANY FREDERICKSON

Surgery Physician

NPI: 1265669956IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgery PhysicianPrimary

Surgery

Code: 208600000X

R-8763(IA)TD151001(ME)9138(SD)

CMS Specialties

PrimaryGENERAL SURGERY

Education

OTHER

Class of 2009

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Contact & Hours

Address: 8412 KITT PEAK RD
RAPID CITY, SD 57702
Phone: (515) 201-8982

Quick Facts

NPI: 1265669956
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 3
Locations: 1
Years in Practice: 17

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