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Individual

ERIC G FRIEDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
552 W LINCOLNWAY, VALPARAISO, IN 46385-5531
(219) 464-3937
(219) 462-1534
Mailing address
552 W LINCOLNWAY, VALPARAISO, IN 46385-5531
(219) 464-3937
(219) 462-1534

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01028202
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000102346
ANTHEM
05
100208400A
IN
Enumeration date
07/06/2007
Last updated
08/12/2009
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