Individual
JULIA M FREEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1814 CHARLTON CT, GOSHEN, IN 46526-6463
(574) 533-4169
(574) 534-8822
Mailing address
PO BOX 834, GOSHEN, IN 46527-0834
(574) 364-2592
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01077115A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201170610
—
IN
Enumeration date
06/05/2013
Last updated
03/18/2024
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