Individual
WALTER JONATHAN FRIEDLEY
Active
Individual
WALTER JONATHAN FRIEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.079367
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202163
ANTHEM
—
01
—
1202702
UHC
—
05
—
2244360
—
OH
01
—
311090079
CIGNA
—
01
—
311098079
TAX ID
—
01
—
353077
SUBMITTER NO
—
01
—
370018677
TRAVELERS MEDICARE
—
01
—
7052274
AETNA
—
Enumeration date
05/03/2006
Last updated
12/21/2021
Update your record
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