Provider Demographics
NPI:1780796037
Name:KRAEMER, FREDRIC B (MD)
Entity type:Individual
Prefix:
First Name:FREDRIC
Middle Name:B
Last Name:KRAEMER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 PASTEUR DR RM S025
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:650-493-5000
Mailing Address - Fax:650-852-3263
Practice Address - Street 1:300 PASTEUR DR RM S025
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:650-852-3263
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2024-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG36929207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine