Individual
DENISE EILEEN FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
414 N 7TH ST, BISMARCK, ND 58501-4423
(701) 323-6815
(701) 323-6516
Mailing address
414 N 7TH ST, BISMARCK, ND 58501-4423
(701) 323-6815
(701) 323-6516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0106
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10116
—
ND
Enumeration date
02/15/2006
Last updated
04/18/2022
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