Individual
DR. AMY BRONWYN FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-3832
(513) 584-3807
Mailing address
6906 COVINGTON ROAD, FORT WAYNE, IN 46804
(248) 506-3332
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
02003704A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
34010261
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000665277
BC/BS
IN
Enumeration date
04/25/2008
Last updated
08/17/2011
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