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Individual
DR. TIMOTHY MICHAEL FREY
Active
Individual
DR. TIMOTHY MICHAEL FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6093
MI
111N00000X
Chiropractor
6520
GA
111N00000X
Chiropractor
Primary
804
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000132345
ANTHEM BCBS
OH
05
—
0426980
—
OH
01
—
34146624100
WORKERS COMPENSATION
OH
01
—
5627090
AETNA
OH
Enumeration date
07/17/2006
Last updated
07/08/2007
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