Individual
DR. MARK DAVID FRIDERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1229 S G AVE, NEVADA, IA 50201-2778
(515) 382-2128
(515) 382-3617
Mailing address
1229 S G AVE, NEVADA, IA 50201-2778
(515) 382-2128
(515) 382-3617
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06327
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0221424
—
IA
Enumeration date
06/16/2005
Last updated
08/17/2012
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