Individual
DR. GERALD ALAN FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13326 N BLVD, VICKSBURG, MI 49097-1514
(269) 649-2321
Mailing address
13326 N BLVD, VICKSBURG, MI 49097-1514
(269) 649-2321
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301043834
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010C96065
BCBS
MI
05
—
1346217445
—
MI
01
—
1417961137
BCBSM - BRONSON VICKSBURG OUTPATIENT CENTER
MI
05
—
3209495
—
MI
01
—
C20578
RAILROAD MEDICARE
MI
Enumeration date
03/07/2006
Last updated
12/11/2014
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