Individual
JULIANNE FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1312 W. ARCH HAVEN AVENUE, BLOOMINGTON, IN 47403
(812) 676-4144
(812) 339-8344
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402
(812) 353-3087
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001536A
IN
Other
Enumeration date
06/25/2013
Last updated
12/04/2020
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