Individual
DR. JOHN MELVIN FRIESWYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
203 W 30TH ST, HOLLAND, MI 49423
(616) 392-2853
(616) 392-2568
Mailing address
203 W 30TH ST, HOLLAND, MI 49423
(616) 392-2853
(616) 392-2568
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901011198
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124069
UNITED CONCORDIA
—
01
—
D1119800
BCBSM
—
Enumeration date
12/04/2006
Last updated
07/08/2007
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