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Individual

DR. STEVEN L FRIESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1522 CLAREMONT AVE, ASHLAND, OH 44805-3533
(419) 207-1085
(419) 207-0607
Mailing address
1522 CLAREMONT AVE, ASHLAND, OH 44805-3533
(419) 207-1085
(419) 207-0607

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35079410
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224138
BLUE CROSS BLUE SHIELD PI
OH
05
2320983
OH
Enumeration date
06/09/2005
Last updated
02/25/2011
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