Individual
RONALD L FRIEDERICH
Active
Individual
RONALD L FRIEDERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
78150
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180001581
MEDICARE RAILROAD
—
01
—
201003253
PRESBYTERIAN HEALTH PLAN
—
01
—
NM000975
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/30/2006
Last updated
06/03/2008
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