Individual
JACK F FREIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 LINKS WAY, AURORA, IN 47001-1403
(812) 496-8785
(812) 926-0431
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01039463A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200026340
—
IN
Enumeration date
03/14/2006
Last updated
11/21/2025
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