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Individual

DR. DENISE JEAN FREIDEL

Active
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Individual

DR. DENISE JEAN FREIDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009034588
MO
207Q00000X
Family Medicine Physician
264
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07034
BLUE CROSS PROVIDER #
NE
01
—
200652429
UNITED HEALTHCARE
NE
05
—
200652429
—
NE
01
—
20065242968066
TRICARE PROVIDER #
NE
01
—
235965
MIDLANDS CHOICE PROVIDER
NE
01
—
P00226181
RAILROAD MEDICARE
NE
Enumeration date
03/29/2007
Last updated
12/01/2022
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