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Individual
RONALD ETHAN FREILICH
Active
Individual
RONALD ETHAN FREILICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016.004215
IL
213E00000X
Podiatrist
2015014633
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
016.004215
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2015014633
MO
Other
Enumeration date
10/31/2014
Last updated
09/03/2015
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