Individual
JILL A FRERICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
12499 UNIVERSITY AVE, SUITE 210, CLIVE, IA 50325-8288
(515) 440-2676
Mailing address
12499 UNIVERSITY AVE, SUITE 210, CLIVE, IA 50325-8288
(515) 440-2676
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
792
IA
Other
Enumeration date
02/21/2007
Last updated
01/23/2013
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