Individual
TED FRIEDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
912 SE POLK ST, GRIMES, IA 50111-1130
(515) 326-2372
Mailing address
912 SE POLK ST, GRIMES, IA 50111-1130
(515) 326-2372
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
072955
IA
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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