Individual
CODY ERIC FREITAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1000
(217) 522-3117
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 688-8660
(614) 292-7072
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036155848
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35140749
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0429712
—
OH
Enumeration date
03/25/2015
Last updated
03/22/2023
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