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Individual

DR. KEITH ALLEN FRIEDMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
815 S HIGHWAY 52, GUTTENBERG, IA 52052-9018
(563) 252-3507
(563) 252-1254
Mailing address
PO BOX 318, GUTTENBERG, IA 52052-0318
(563) 252-3507
(563) 252-1254

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
06594
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0415075
IA
01
34628
BLUE CROSS BLUE SHIELD
IA
01
432007215
MEDICAL ASSOCIATES (HMO)
IA
01
P00115113
MEDICARE RAILROAD CARRIER
IA
Enumeration date
06/27/2006
Last updated
10/31/2019
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