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Individual

MATTHEW G FRIEDERICHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 23RD AVE E STE 102, WEST FARGO, ND 58078-7402
(701) 707-0200
(701) 707-0210
Mailing address
350 23RD AVE E STE 102, WEST FARGO, ND 58078-7402
(701) 707-0200
(701) 707-0210

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
46450
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
9386
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12624
ND
Enumeration date
07/18/2006
Last updated
06/06/2024
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