Individual
DR. MICHAEL L FREID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
225 N NOTRE DAME AVE, SUITE # 1, SOUTH BEND, IN 46617-2839
(574) 232-4868
(574) 232-4869
Mailing address
225 N NOTRE DAME AVE, SUITE # 1, SOUTH BEND, IN 46617-2839
(574) 232-4868
(574) 232-4869
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12006859A
IN
Other
Enumeration date
09/26/2006
Last updated
07/09/2007
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