# DR. CHARLES R FRIEND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184638868
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02001804A | IN | Yes |
| 207Q00000X | Family Medicine Physician | OS10246 | FL | — |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 08/09/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000371599 | ANTHEM | IN |
| 01 | — | 000000891732 | ANTHEM | IN |
| 01 | — | 14150 | BCBS | FL |
| 05 | — | 200528320 | — | IN |
| 05 | — | 201246920 | — | IN |
| 05 | — | 280728900 | — | FL |
| 01 | — | 5517084 | AETNA | FL |
| 01 | — | P01368092 | RAIL ROAD MEDICARE | IN |