Individual
WALLACE FRIEDMAN
Active
Individual
WALLACE FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
020377
TN
207L00000X
Anesthesiology Physician
Primary
20377
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009992535
—
AL
01
—
3029954
BCBS NUMBER
TN
05
—
3053142
—
TN
05
—
64798267
—
KY
Enumeration date
06/22/2005
Last updated
08/20/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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