Individual
EMMA FRIDLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5605 COLONY DR N STE 1, SAGINAW, MI 48638-7187
(989) 401-1463
Mailing address
5605 COLONY DR N STE 1, SAGINAW, MI 48638-7187
(989) 401-1463
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010793
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601010793
STATE OF MICHIGAN
MI
Enumeration date
05/24/2021
Last updated
03/04/2022
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