IndividualActive
William Fredericks, DO
NPI 1720423643 · Interventional Pain Medicine Physician · Saint Paul, MN
Provider details
- NPI number
- 1720423643
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 58337 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1700 University Ave W Fl 6
Saint Paul, MN 55104
Phone: (651) 232-5321
Approximate (ZIP-level) locationGet directions
Mailing address
1690 University Ave W Ste 370
Saint Paul, MN 55104-3723
Additional practice locations (1)
- 200 First Street SwRochester, MN 55905Phone: (507) 284-5000
Registry dates
- Enumerated
- 2013-05-06
- Last updated
- 2018-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.