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Individual

DR. BRUCE H FRIDINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
520 N SHERIDAN AVE, OTTUMWA, IA 52501-4228
(641) 683-7901
(641) 682-1158
Mailing address
520 N SHERIDAN AVE, OTTUMWA, IA 52501-4228
(641) 683-7901
(641) 682-1158

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
IA0102
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3115741
IA
Enumeration date
11/07/2005
Last updated
03/25/2010
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