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Individual

BRETT ANDREW FRIESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPAS, PA-C

Contact information

Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-8577
(513) 558-5055
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3107
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004812RX
OH

Other

Enumeration date
09/22/2016
Last updated
03/26/2019
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