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FRED MCRAE ROBERSON M.D.
NPI 1184720567
Family Medicine in Wabasha, MN

Active since September 15, 2006
1202 5TH GRANT BLVD, LAKE CITY MEDICAL CENTER, WABASHA, MN 55981(651) 565-4571(651) 565-4818 Get Directions Write a Review

NPPES record last updated: December 23, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fred Mcrae Roberson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRED MCRAE ROBERSON M.D. (NPI 1184720567) is an individual family medicine provider in Wabasha, Minnesota, licensed in Minnesota (33927) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1184720567
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFRED MCRAE ROBERSONCredential: M.D.
Location Address1202 5TH GRANT BLVD, LAKE CITY MEDICAL CENTERWabasha, MN 55981-1042
Mailing Address17453 Sugarloaf PkwyZumbrota, MN 55992-7288 · (507) 732-5843 · Fax (507) 233-1680
Phone(651) 565-4571
Fax(651) 565-4818
Sole ProprietorYes
Enumeration DateSeptember 15, 2006
Last NPPES UpdateDecember 23, 2009
✔ NPI 1184720567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 33927
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1202 5TH GRANT BLVD, Wabasha, MN 55981
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Other Identifiers 1

Medicare UPINB61029MN

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUTH J. TIFFAULT DO
Family Medicine
1202 5TH GRANT BLVD
WABASHA, MN 55981
Wabasha County (651) 565-4571
JOSEPH V MCGRATH MD
Family Medicine
1202 5TH GRANT BLVD
WABASHA, MN 55981
Wabasha County (651) 565-4571
SUSAN J. BUCK FNP
Physician Assistant
1202 5TH GRANT BLVD
WABASHA, MN 55981
Wabasha County (651) 565-4571
MARK WAYNE BINGHAM PA-C
Physician Assistant
1202 5TH GRANT BLVD
WABASHA, MN 55981
Wabasha County (651) 565-4571
MR. MARC J. HAMPL PA-C
Physician Assistant
1202 5TH GRANT BLVD
WABASHA, MN 55981
Wabasha County (651) 565-4571
VALERIE D. MCGRATH PNP
Physician Assistant
1202 5TH GRANT BLVD
WABASHA, MN 55981
Wabasha County (651) 565-4571
BRIAN E. KELLY MD
Family Medicine
1202 5TH GRANT BLVD
WABASHA, MN 55981
Wabasha County (651) 565-4571
ANN C. MCKENZIE MD
Family Medicine
1202 5TH GRANT BLVD
WABASHA, MN 55981
Wabasha County (651) 565-4571

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Roberson's NPI number?

The NPI number for Fred Roberson is 1184720567. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Fred Roberson located?

Fred Roberson practices at 1202 5th Grant Blvd Lake City Medical Center, Wabasha, MN 55981. The listed phone number is (651) 565-4571.

What is Fred Roberson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Fred Roberson was last updated on December 23, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.