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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
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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