Provider Demographics
NPI:1942289673
Name:WREFORD, FREDERICK STANLEY III (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:STANLEY
Last Name:WREFORD
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 COLLEGE BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1856
Mailing Address - Country:US
Mailing Address - Phone:913-341-6297
Mailing Address - Fax:913-341-6299
Practice Address - Street 1:7301 COLLEGE BLVD STE 110
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210
Practice Address - Country:US
Practice Address - Phone:913-341-6297
Practice Address - Fax:913-341-6299
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-41791207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI22-0-73-0373-1OtherBCBS PIN OR CPC
MI22-0-73-0373-1OtherBCBS PIN OR CPC