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Individual

THOMAS ROBERT FREIJE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11530 ALLISONVILLE RD STE 190, FISHERS, IN 46038-1862
(463) 251-3937
(317) 222-2332
Mailing address
11530 ALLISONVILLE RD STE 190, FISHERS, IN 46038-1862
(463) 251-3937
(317) 222-2332

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01087850A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068010820
MEDICARE PTAN
IN
01
1003379090
ANTHEM PTAN
IN
01
264430E82
MEDICARE PTAN
IN
05
300026114
IN
Enumeration date
04/08/2019
Last updated
05/17/2024
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