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Individual

FRED W FRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8205 E 56TH ST, SUITE100, INDIANAPOLIS, IN 46216-1056
(317) 621-4044
(317) 621-4050
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01038758A
IN
207RA0401X
Addiction Medicine (Internal Medicine) Physician
01038758A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000342145
ANTHEM
IN
05
100334180
IN
01
P00971523
RR MEDICARE
IN
Enumeration date
02/24/2006
Last updated
06/17/2025
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