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Individual

WILLIAM FREUDENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 802-3140
(317) 870-0499
Mailing address
4685 RELIABLE PKWY, CHICAGO, IL 60686-0001
(317) 802-3140
(317) 870-0499

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01060456
IN
207P00000X
Emergency Medicine Physician
Primary
ME163879
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200524150
IN
Enumeration date
10/03/2006
Last updated
08/07/2023
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