Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark A Fredrickson, MD

Individual provider Family Medicine Physician · NPI 1356426712

Dr. Mark A Fredrickson, MD is a Family Medicine Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3299 Clear Vista Ct NE Ste C
Grand Rapids, MI 49525
Phone: (616) 361-1200
Fax: (616) 361-2198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MF048876 (MI)

Record details

NPI number1356426712
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address5514 Preserve Ct, Belmont, MI 49306-8510

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