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Individual

HAILEY FRIEDRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
10215 BROADWAY STE 207, CROWN POINT, IN 46307-8001
(219) 661-6171
(219) 703-6836
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004190A
IN

Other

Enumeration date
08/15/2023
Last updated
04/11/2025
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