Dr. David Lee Frederickson , MD
Emergency Medicine • St Cloud, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Frederickson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. David Frederickson, MD was a registered Emergency Medicine practicing in St Cloud, MN. Throughout an active medical career spanning 15 years, Dr. Frederickson provided care at the practice location at 1406 6TH AVE N until profile deactivation on 2021-09-20.
Practice Location & Contact Primary Location
1406 6th Ave N
St Cloud, MN 563031901
Specialty Benchmarks & Practice Insights
Comparative analytics for Emergency Medicine in St Cloud, MN
Practicing in St Cloud, MN (1376 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 207P00000X
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pathology - Clinical Pathology/Laboratory Medicine
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
MDPHD
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 20, 2021
NPI status registered as active in NPPES database
Registered at 1406 6TH AVE N, ST CLOUD, MN 563031901 (Tel: 3202555657)
Registered at 1406 6TH AVE N, SAINT CLOUD, MN 563031900 (Tel: 3202555657)
Recorded as DAVID FREDERICKSON, MD
Emergency Medicine (License #18159 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1406 6th Ave N
Saint Cloud, MN 563031900
Phone: 3202555657
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