TIFFANY ANN FREDERICKSON

NPI: 1265669956 · Individual · Active

Primary Specialty

Surgery Physician
Surgery

Practice Location

8412 KITT PEAK RD
RAPID CITY, SD 57702-9512 Map ↗
Phone: 515-201-8982

All Specialties & Licenses

  • Surgery Physician Primary (license: 9138, SD)
  • Surgery Physician (license: R-8763, IA)
  • Surgery Physician (license: TD151001, ME)

NPI Registration

Enumerated: 2009-06-19

Last CMS Update: 2015-09-15