Individual
DR. CHARLES R FRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1640 CRAWFORDSVILLE SQUARE DR, CRAWFORDSVILLE, IN 47933-3800
(765) 362-5789
(765) 362-2453
Mailing address
PO BOX 781076, DETROIT, MI 48278-3833
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001804A
IN
207Q00000X
Family Medicine Physician
OS10246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000371599
ANTHEM
IN
01
—
000000891732
ANTHEM
IN
01
—
14150
BCBS
FL
05
—
200528320
—
IN
05
—
201246920
—
IN
05
—
280728900
—
FL
01
—
5517084
AETNA
FL
01
—
P01368092
RAIL ROAD MEDICARE
IN
Enumeration date
07/28/2006
Last updated
08/09/2024
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