Individual
RICHARD W. FRIEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1234 NAPIER AVE, ST JOSEPH, MI 49120-2112
(269) 983-8300
Mailing address
P.O. BOX 458, NILES, MI 49120-0458
(269) 684-0259
(269) 684-0189
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
4301091784
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101111541
BCBS
—
05
—
1336183045
—
MI
Enumeration date
06/15/2006
Last updated
09/07/2011
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