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Individual

DR. JOHN LINDLEY FRERICHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4925 N NEVADA AVE, ROOM 416, COLORADO SPRINGS, CO 80918
(719) 425-0933
Mailing address
4925 N NEVADA AVE, ROOM 416, COLORADO SPRINGS, CO 80918
(719) 425-0933

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
47452
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134938400
MN
05
27408876
CO
Enumeration date
01/06/2006
Last updated
02/21/2024
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