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Individual

ERIC E FRISCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
110 NW 31ST, 2ND FLOOR, LAWTON, OK 73505
(580) 357-3671
(580) 357-1256
Mailing address
PO BOX 785, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11095
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100005970A
OK
01
175194700
DOL
OK
01
200030294
RAILROAD MEDICARE
OK
01
4368572
AETNA
OK
Enumeration date
09/21/2005
Last updated
01/29/2009
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