Individual
JONATHAN AARON FRIDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 274-4370
(317) 278-3268
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
01056178A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200384130A
—
IN
Enumeration date
05/10/2006
Last updated
03/11/2021
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