Arizona
Board of Licensing
Michael J. Frederiksen MD
Medical Doctor
License number
6154
Date granted
04/10/1971
Class
Medical Doctor
Status
Active
Address
609 Vanden Bosch Pkwy, Gallup NM 87301-4537
arizonalicensing.com
ID 22551593
LAST UPDATED 2026-06-05 06:17:59 UTC
LAST UPDATED 2026-06-05 06:17:59 UTC