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Individual

CARL E FRIED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
315 TURWILL LN, KALAMAZOO, MI 49006-4231
(269) 343-8170
(269) 382-2388
Mailing address
315 TURWILL LN, KALAMAZOO, MI 49006-4231
(269) 382-8489

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501008500
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
650C913930
BCBS
MI
Enumeration date
03/14/2006
Last updated
07/24/2019
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