Individual
MATTHEW GRANT FREITAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1531 N BELL ST, FREMONT, NE 68025-3536
(402) 727-1995
Mailing address
1531 N BELL ST, FREMONT, NE 68025-3536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14575
NE
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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