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Individual
DR. JAKE FRIES
Active
Individual
DR. JAKE FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
02007367A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
346505
LA
208M00000X
Hospitalist Physician
02007367A
IN
Other
Enumeration date
05/11/2021
Last updated
08/19/2026
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