Individual
RONALD ETHAN FREILICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
25107 CHEROKEE LN, JONESBURG, MO 63351-2454
(314) 575-5112
Mailing address
25107 CHEROKEE LN, JONESBURG, MO 63351-2454
(314) 575-5112
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016.004215
IL
213E00000X
Podiatrist
2015014633
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
016.004215
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2015014633
MO
Other
Enumeration date
10/31/2014
Last updated
09/03/2015
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