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Individual

LISA CLAIRE FREITAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
500 OSBORNE RD NE, 310, FRIDLEY, MN 55432-2765
(763) 236-2700
(763) 236-2710
Mailing address
500 OSBORNE RD NE, 310, FRIDLEY, MN 55432-2765
(763) 236-2700
(763) 236-2710

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33208
MN

Other

Enumeration date
08/25/2006
Last updated
07/08/2007
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