Individual
FRIDOLIN HOESLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2747 NE CONNERS AVE, BEND, OR 97701
(541) 382-5712
Mailing address
2747 NE CONNERS AVE, BEND, OR 97701
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD168020
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005622300
—
FL
05
—
500677859
—
OR
Enumeration date
06/04/2009
Last updated
08/14/2023
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