Provider Demographics
NPI:1982682068
Name:STIER, FREDERICK M (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:M
Last Name:STIER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1800 N BEAUREGARD ST STE 300
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-1735
Mailing Address - Country:US
Mailing Address - Phone:703-680-2111
Mailing Address - Fax:
Practice Address - Street 1:1707 OSAGE ST
Practice Address - Street 2:SUITE 301
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-2607
Practice Address - Country:US
Practice Address - Phone:703-836-8010
Practice Address - Fax:703-921-0285
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2019-06-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101028192208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD-05953Medicare UPIN