Individual
DR. JACOB L FRIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8901 WISCONSIN AVE, WRNMMC, NICOE, BUILDING 51, BETHESDA, MD 20889
(301) 319-3772
Mailing address
12732 MIDDLEVALE LN, SILVER SPRING, MD 20906-3339
(301) 873-8145
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0054171
MD
208D00000X
General Practice Physician
D0054171
MD
Other
Enumeration date
03/29/2006
Last updated
09/13/2012
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