Individual
JOHN FRIEDLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1625 MAPLE LN, ASHLAND, WI 54806-3768
(715) 685-7500
Mailing address
1625 MAPLE LN, ASHLAND, WI 54806-3768
(715) 685-7500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1406-023
WI
363A00000X
Physician Assistant
5601003697
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508950593
—
MN
05
—
419646000
—
WI
Enumeration date
10/03/2006
Last updated
04/29/2011
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