Individual
MRS. MARI E. FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
10465 E COUNTY ROAD 100 N, INDIANAPOLIS, IN 46234-1243
(317) 926-3739
Mailing address
875 AIRPORT PKWY, GREENWOOD, IN 46143-1085
(317) 926-3739
(317) 921-7478
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001807A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001807A
INDIANA LICENSING ENTERPRISE
IN
Enumeration date
06/27/2012
Last updated
08/19/2022
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